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Blast Resolve, LLC

Clinic/Center, Rural Health in Scottsdale, AZ. Organization (NPI-2).

NPI number1750988952
StatusActive
Last updated in NPPESOct 1, 2020

Details

NPI
1750988952
Entity type
Organization (NPI-2)
Legal business name
Blast Resolve, LLC
Organization subpart
No
Enumeration date
Oct 1, 2020
Certification date
Oct 1, 2020
Last updated
Oct 1, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR1300X Clinic/Center, Rural Health––Yes
341600000X Ambulance––

Practice location

6929 N Hayden Rd Ste C4-160
Scottsdale, AZ 85250-7994

Phone 520-260-8030 · Fax 520-825-8304

Mailing address

6929 N Hayden Rd Ste C4-160
Scottsdale, AZ 85250-7994

Phone 520-260-8030 · Fax 520-825-8304

Authorized official

Stuart Alan Stein
Ceo And President
5202608030

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