| Performance Iop, Llc | |
|
9525 E Doubletree Ranch Rd Ste 105 Scottsdale AZ 85258-5538 | |
| (480) 588-3745 | |
| Not Available |
| Full Name | Performance Iop, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 9525 E Doubletree Ranch Rd Ste 105, Scottsdale, Arizona |
| Authorized Official Name and Position | Benjamin Tyler Terrusa (MEMBER/CHIEF ADMINISTRATIVE OFFICER) |
| Authorized Official Contact | 8182510123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Iop, Llc 9525 E Doubletree Ranch Rd Ste 105 Scottsdale AZ 85258-5538 Ph: (480) 588-3745 | Performance Iop, Llc 9525 E Doubletree Ranch Rd Ste 105 Scottsdale AZ 85258-5538 Ph: (480) 588-3745 |
| NPI Number | 1861070260 |
|---|---|
| Provider Enumeration Date | 03/30/2021 |
| Last Update Date | 06/26/2021 |
| Certification Date | 06/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861070260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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