| Red Mountain Interventional Center LLC | |
|
2745 S Alma School Rd Ste 3 Chandler AZ 85286-4405 | |
| (480) 292-8542 | |
| (480) 292-8534 |
| Full Name | Red Mountain Interventional Center LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2745 S Alma School Rd Ste 3, Chandler, Arizona |
| Authorized Official Name and Position | Hamblen Dean Fuller (ORGANIZER) |
| Authorized Official Contact | 6027930310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Mountain Interventional Center LLC 2745 S Alma School Rd Ste 3 Chandler AZ 85286-4405 | Red Mountain Interventional Center LLC 2745 S Alma School Rd Ste 3 Chandler AZ 85286-4405 Ph: (480) 292-8542 |
| NPI Number | 1558875807 |
|---|---|
| Provider Enumeration Date | 11/24/2017 |
| Last Update Date | 06/05/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558875807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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