| Prestige Interventional Group, Llc | |
|
3724 N 3rd St Suite 302 Phoenix AZ 85012-2034 | |
| (602) 674-8185 | |
| (602) 674-8117 |
| Full Name | Prestige Interventional Group, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3724 N 3rd St, Phoenix, Arizona |
| Authorized Official Name and Position | Challen Waychoff (COO/MANAGER) |
| Authorized Official Contact | 7604869634 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Interventional Group, Llc 3724 N 3rd St Suite 301 Phoenix AZ 85012-2034 Ph: (760) 486-9634 | Prestige Interventional Group, Llc 3724 N 3rd St Suite 302 Phoenix AZ 85012-2034 Ph: (602) 674-8185 |
| NPI Number | 1891236998 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891236998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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