Choose To Change | |
15148 W Cortez St Surprise AZ 85379-5237 | |
(708) 275-9244 | |
Not Available |
Full Name | Choose To Change |
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Speciality | Clinic/center |
Location | 15148 W Cortez St, Surprise, Arizona |
Authorized Official Name and Position | Jermaine Davis (COO) |
Authorized Official Contact | 7082759244 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Choose To Change 15148 W Cortez St Surprise AZ 85379-5237 Ph: () - | Choose To Change 15148 W Cortez St Surprise AZ 85379-5237 Ph: (708) 275-9244 |
NPI Number | 1801586748 |
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Provider Enumeration Date | 05/12/2023 |
Last Update Date | 05/12/2023 |
Identifier | Type | State | Issuer |
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1801586748 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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