Organization · NPI-2

Cto Ipcw, LLC

· Peoria, AZ

NPI number1710813019
StatusActive
Last updated in NPPESJun 23, 2026

Details

NPI
1710813019
Entity type
Organization (NPI-2)
Legal business name
Cto Ipcw, LLC
Organization subpart
No
Enumeration date
Jun 23, 2026
Certification date
Jun 23, 2026
Last updated
Jun 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X ––Yes

Practice location

13090 N 94th Dr Ste 212
Peoria, AZ 85381-4258

Phone 833-578-7246

Mailing address

13090 N 94th Dr Ste 212
Peoria, AZ 85381-4258

Phone 833-578-7246

Authorized official

Adam Todd Kramer
Owner
8335787246

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