| Strat-o-sphere International | |
|
3617 W El Camino Dr Phoenix AZ 85051-9119 | |
| (480) 875-1637 | |
| Not Available |
| Full Name | Strat-o-sphere International |
|---|---|
| Speciality | Military Health Care Provider - Independent Duty Medical Technicians |
| Location | 3617 W El Camino Dr, Phoenix, Arizona |
| Authorized Official Name and Position | David Wayne Hertzberg (REVEREND /OWNER) |
| Authorized Official Contact | 4808751637 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Strat-o-sphere International 3617 W El Camino Dr Phoenix AZ 85051-9119 Ph: (480) 875-1637 | Strat-o-sphere International 3617 W El Camino Dr Phoenix AZ 85051-9119 Ph: (480) 875-1637 |
| NPI Number | 1699353870 |
|---|---|
| Provider Enumeration Date | 03/30/2021 |
| Last Update Date | 09/14/2025 |
| Certification Date | 09/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699353870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 1710I1003X | Military Health Care Provider - Independent Duty Medical Technicians | (* (Not Available)) | Primary |
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