Mountainside Fitness Acquisitions, LLC
Physical Medicine & Rehabilitation, Sports Medicine in Scottsdale, AZ. Organization (NPI-2).
NPI number1497344931
StatusActive
Last updated in NPPESJan 11, 2021
Details
- NPI
- 1497344931
- Entity type
- Organization (NPI-2)
- Legal business name
- Mountainside Fitness Acquisitions, LLC
- Organization subpart
- No
- Enumeration date
- Jan 11, 2021
- Certification date
- Jan 11, 2021
- Last updated
- Jan 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | – | – | Yes |
Practice location
5320 E Shea BlvdScottsdale, AZ 85254-4793
Phone 480-306-4401
Mailing address
7135 E Camelback RdScottsdale, AZ 85251-1262
Phone 480-706-8963
Authorized official
Eileen Ahern
Credentialist
8009541800
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All 7 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers in Scottsdale · All 15,515 providers in Scottsdale
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