| Pivot Weight Loss Center Llc | |
|
4860 E Baseline Rd Mesa AZ 85206-4669 | |
| (480) 292-5145 | |
| Not Available |
| Full Name | Pivot Weight Loss Center Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4860 E Baseline Rd, Mesa, Arizona |
| Authorized Official Name and Position | John J Debarros (OWNER) |
| Authorized Official Contact | 4804858585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pivot Weight Loss Center Llc 6838 E Cheney Dr Paradise Valley AZ 85253-3525 Ph: (480) 485-8585 | Pivot Weight Loss Center Llc 4860 E Baseline Rd Mesa AZ 85206-4669 Ph: (480) 292-5145 |
| NPI Number | 1659031631 |
|---|---|
| Provider Enumeration Date | 12/18/2021 |
| Last Update Date | 12/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659031631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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