| Allied Interventional Center, Llc | |
|
14780 W Mountain View Blvd #120 Surprise AZ 85374 | |
| (314) 973-9571 | |
| Not Available |
| Full Name | Allied Interventional Center, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 14780 W Mountain View Blvd, Surprise, Arizona |
| Authorized Official Name and Position | Hamblen Dean Fuller (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6027930310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Interventional Center, Llc 14780 W Mountain View Blvd #120 Surprise AZ 85374-4799 Ph: (314) 973-9571 | Allied Interventional Center, Llc 14780 W Mountain View Blvd #120 Surprise AZ 85374 Ph: (314) 973-9571 |
| NPI Number | 1881143147 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881143147 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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