| Recovery Room Iv Therapy Llp | |
|
5333 N 7th St Ste B112 Phoenix AZ 85014-2840 | |
| (480) 562-1974 | |
| Not Available |
| Full Name | Recovery Room Iv Therapy Llp |
|---|---|
| Speciality | Internal Medicine |
| Location | 5333 N 7th St Ste B112, Phoenix, Arizona |
| Authorized Official Name and Position | Lanette Keeton (OWNER) |
| Authorized Official Contact | 4805621974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Room Iv Therapy Llp 5333 N 7th St Ste B112 Phoenix AZ 85014-2840 Ph: (480) 562-1974 | Recovery Room Iv Therapy Llp 5333 N 7th St Ste B112 Phoenix AZ 85014-2840 Ph: (480) 562-1974 |
| NPI Number | 1316694912 |
|---|---|
| Provider Enumeration Date | 03/04/2022 |
| Last Update Date | 01/30/2024 |
| Medicare PECOS PAC ID | 4981090339 |
|---|---|
| Medicare Enrollment ID | O20220412000230 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316694912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Francis J Martinez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053392670 PECOS PAC ID: 7012952062 Enrollment ID: I20170518001306 |
| Provider Name | Adam S Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205361078 PECOS PAC ID: 8426314311 Enrollment ID: I20171109000690 |
| Provider Name | James G Slonaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740794114 PECOS PAC ID: 7810258035 Enrollment ID: I20180305002214 |
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