| Premise Health Of Arizona Medical, P.c. | |
|
910 W Carver Rd Ste 110 Tempe AZ 85284-5265 | |
| (480) 409-6100 | |
| (480) 409-6101 |
| Full Name | Premise Health Of Arizona Medical, P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 910 W Carver Rd Ste 110, Tempe, Arizona |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Arizona Medical, P.c. 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Arizona Medical, P.c. 910 W Carver Rd Ste 110 Tempe AZ 85284-5265 Ph: (480) 409-6100 |
| NPI Number | 1952745218 |
|---|---|
| Provider Enumeration Date | 04/17/2013 |
| Last Update Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952745218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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