Organization · NPI-2

Az Medical Resources LLC

Clinic/Center · Gilbert, AZ

NPI number1194222786
StatusActive
Last updated in NPPESApr 10, 2018

Details

NPI
1194222786
Entity type
Organization (NPI-2)
Legal business name
Az Medical Resources LLC
Organization subpart
No
Enumeration date
Apr 10, 2018
Last updated
Apr 10, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Other names

  • Prime Spine And Orthopedics (Doing Business As)

Practice location

235 E Warner Rd Ste 106
Gilbert, AZ 85296-2972

Phone 480-892-0321 · Fax 844-318-0610

Mailing address

235 E Warner Rd Ste 106
Gilbert, AZ 85296-2972

Phone 480-892-0321 · Fax 844-318-0610

Authorized official

Garrett Blackwell
Member/Manager
4808920321

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center providers in Gilbert, AZ