| Dose Wellness LLC | |
|
2204 S Dobson Rd Ste 202 Mesa AZ 85202-6457 | |
| (480) 914-3673 | |
| Not Available |
| Full Name | Dose Wellness LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2204 S Dobson Rd Ste 202, Mesa, Arizona |
| Authorized Official Name and Position | Ela Suyunova (MANAGER) |
| Authorized Official Contact | 6467524685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dose Wellness LLC 2204 S Dobson Rd Ste 202 Mesa AZ 85202-6457 | Dose Wellness LLC 2204 S Dobson Rd Ste 202 Mesa AZ 85202-6457 Ph: (480) 914-3673 |
| NPI Number | 1518746064 |
|---|---|
| Provider Enumeration Date | 09/25/2023 |
| Last Update Date | 09/28/2023 |
| Certification Date | 09/28/2023 |
| Medicare PECOS PAC ID | 1254873086 |
|---|---|
| Medicare Enrollment ID | O20240608000191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518746064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Daniel Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013437458 PECOS PAC ID: 7012288517 Enrollment ID: I20170801003861 |
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