| Heartfit For Duty, Llc | |
|
633 E Ray Rd Suite 101 Gilbert AZ 85296-4200 | |
| (480) 999-7911 | |
| (480) 499-5829 |
| Full Name | Heartfit For Duty, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 633 E Ray Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Kepra L Jack (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 4809997911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartfit For Duty, Llc 633 E Ray Rd Suite 101 Gilbert AZ 85296-4200 Ph: (480) 999-7911 | Heartfit For Duty, Llc 633 E Ray Rd Suite 101 Gilbert AZ 85296-4200 Ph: (480) 999-7911 |
| NPI Number | 1801139712 |
|---|---|
| Provider Enumeration Date | 03/28/2013 |
| Last Update Date | 03/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801139712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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