Organization · NPI-2

Afc Physical Medicine Of Desert Ridge,pllc

Physical Medicine & Rehabilitation · Phoenix, AZ

NPI number1669731303
StatusActive
Last updated in NPPESDec 8, 2017

Details

NPI
1669731303
Entity type
Organization (NPI-2)
Legal business name
Afc Physical Medicine Of Desert Ridge,pllc
Organization subpart
No
Enumeration date
May 15, 2012
Last updated
Dec 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes
332B00000X Durable Medical Equipment & Medical Supplies7057360001AZ

Practice location

20860 N Tatum Blvd
Suite 290
Phoenix, AZ 85050-4274

Phone 480-563-1144 · Fax 480-563-2371

Mailing address

1839 S Alma School Rd Ste 354
Mesa, AZ 85210-3028

Phone 480-726-2287 · Fax 888-316-9272

Authorized official

Joshua F. Bock
Managing Member
4807262287

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