| Away Clinic Llc | |
|
2201 W Fairview St Ste 1 Chandler AZ 85224-4712 | |
| (480) 712-8865 | |
| Not Available |
| Full Name | Away Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 2201 W Fairview St Ste 1, Chandler, Arizona |
| Authorized Official Name and Position | Paige Ellsworth (OPERATIONS COORDINATOR) |
| Authorized Official Contact | 4807128865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Away Clinic Llc 2201 W Fairview St Ste 1 Chandler AZ 85224-4712 Ph: () - | Away Clinic Llc 2201 W Fairview St Ste 1 Chandler AZ 85224-4712 Ph: (480) 712-8865 |
| NPI Number | 1104559376 |
|---|---|
| Provider Enumeration Date | 07/06/2022 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104559376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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