| Soul Surgery Llc | |
|
14362 N. Frank Lloyd Wright #b111 Scottsdale AZ 85260 | |
| (480) 912-3105 | |
| (480) 912-3106 |
| Full Name | Soul Surgery Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 14362 N. Frank Lloyd Wright, Scottsdale, Arizona |
| Authorized Official Name and Position | Regina Shakespeare (BILLING COMPLIANCE OFFICER) |
| Authorized Official Contact | 9285545633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Surgery Llc 14362 N. Frank Lloyd Wright #b111 Scottsdale AZ 85260 Ph: (480) 912-3105 | Soul Surgery Llc 14362 N. Frank Lloyd Wright #b111 Scottsdale AZ 85260 Ph: (480) 912-3105 |
| NPI Number | 1871026674 |
|---|---|
| Provider Enumeration Date | 04/07/2017 |
| Last Update Date | 01/31/2020 |
| Certification Date | 01/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871026674 | NPI | - | NPPES |
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