Fresh Start Bone And Joint Institue
Specialist in Buckeye, AZ. Organization (NPI-2).
NPI number1154942829
StatusActive
Last updated in NPPESMay 4, 2020
Details
- NPI
- 1154942829
- Entity type
- Organization (NPI-2)
- Legal business name
- Fresh Start Bone And Joint Institue
- Organization subpart
- No
- Enumeration date
- May 4, 2020
- Certification date
- May 4, 2020
- Last updated
- May 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
485 S Watson Rd Ste 103-438Buckeye, AZ 85326-3452
Phone 623-535-9777 · Fax 623-236-3197
Mailing address
485 S Watson Rd Ste 103-438Buckeye, AZ 85326-3452
Phone 623-535-9777 · Fax 623-236-3197
Authorized official
Lizeth Rivas
Billing Manager
6235359777
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