Proformance Health Llc | |
14300 N Northsight Blvd, Ste 116, Scottsdale, AZ 85260-3672 | |
(480) 607-9779 | |
(480) 607-5804 |
Full Name | Proformance Health Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 14300 N Northsight Blvd, Scottsdale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932422888 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jason E Avelar |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1396851457 PECOS PAC ID: 0143246223 Enrollment ID: I20150121002146 |
Mailing Address | Practice Location Address |
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Proformance Health Llc 14300 N Northsight Blvd, Ste. 116, Scottsdale, AZ 85260-3672 Ph: (480) 607-9779 | Proformance Health Llc 14300 N Northsight Blvd, Ste 116, Scottsdale, AZ 85260-3672 Ph: (480) 607-9779 |
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