Organization · NPI-2
Bella Healthcare LLC
Physical Medicine & Rehabilitation, Pain Medicine · Tempe, AZ
NPI number1386065183
StatusActive
Last updated in NPPESDec 20, 2013
Details
- NPI
- 1386065183
- Entity type
- Organization (NPI-2)
- Legal business name
- Bella Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Dec 20, 2013
- Last updated
- Dec 20, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | AZ | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | AZ |
Practice location
1001 E Warner RdSte 107
Tempe, AZ 85284-3224
Phone 480-897-3300 · Fax 480-897-3312
Mailing address
1001 E Warner RdSte 107
Tempe, AZ 85284-3224
Phone 480-897-3300 · Fax 480-897-3312
Authorized official
Jeremy R Buckner
Ceo
4808973300
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