| Rcdc Surprise | |
|
16952 W Bell Rd Ste 304 Surprise AZ 85374-8951 | |
| (623) 584-3588 | |
| Not Available |
| Full Name | Rcdc Surprise |
|---|---|
| Speciality | Clinic/center |
| Location | 16952 W Bell Rd Ste 304, Surprise, Arizona |
| Authorized Official Name and Position | Charles Love (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5152268484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rcdc Surprise 16952 W Bell Rd Ste 304 Surprise AZ 85374-8951 Ph: (623) 584-3588 | Rcdc Surprise 16952 W Bell Rd Ste 304 Surprise AZ 85374-8951 Ph: (623) 584-3588 |
| NPI Number | 1295989077 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295989077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | RN114597 (Arizona) | Primary |
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