Organization · NPI-2

Avant Healthcare LLC

Physical Medicine & Rehabilitation, Pain Medicine · Tempe, AZ

NPI number1699300053

StatusActive

Last updated in NPPESMar 6, 2020

Details

NPI: 1699300053
Entity type: Organization (NPI-2)
Legal business name: Avant Healthcare LLC
Organization subpart: No
Enumeration date: Mar 5, 2020
Certification date: Mar 6, 2020
Last updated: Mar 6, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2081P2900X	Physical Medicine & Rehabilitation, Pain Medicine	–	–	Yes
261Q00000X	Clinic/Center	–	–

Practice location

1001 E Warner Rd Ste 107
Tempe, AZ 85284-3224

Phone 480-897-3300

Mailing address

Po Box 11180
Tempe, AZ 85284-0020

Authorized official

Jeremy Buckner
Owner
6024212730

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