| Bobbi-jo's Wellness For Life, Llc | |
|
11683 W Cactus Wren Ct Surprise AZ 85378-2568 | |
| (315) 374-2570 | |
| Not Available |
| Full Name | Bobbi-jo's Wellness For Life, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11683 W Cactus Wren Ct, Surprise, Arizona |
| Authorized Official Name and Position | Bobbi-jo Campbell (PROPRIETOR) |
| Authorized Official Contact | 3153742570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bobbi-jo's Wellness For Life, Llc 11683 W Cactus Wren Ct Surprise AZ 85378-2568 Ph: (315) 374-2570 | Bobbi-jo's Wellness For Life, Llc 11683 W Cactus Wren Ct Surprise AZ 85378-2568 Ph: (315) 374-2570 |
| NPI Number | 1548848799 |
|---|---|
| Provider Enumeration Date | 03/30/2021 |
| Last Update Date | 08/25/2021 |
| Medicare PECOS PAC ID | 1951709237 |
|---|---|
| Medicare Enrollment ID | O20211018002538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548848799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bobbi-jo Campbell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316447626 PECOS PAC ID: 8628323664 Enrollment ID: I20180615001805 |
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