NPI 1023516499
Surprise Medical LLC
Practice location
- Address
- 16960 W Bell Rd STE 501, Surprise, AZ 85374-8946
- Phone
- (480) 634-6400
- Fax
- (480) 404-9649
- Mailing address
- 3724 N 3rd St STE 301, Phoenix, AZ 85012-2035
Authorised official
- Name
- Challen Waychoff
- Title
- Coo/Manager
- Phone
- (480) 634-6400
Registered specialties (2)
Physical Medicine & Rehabilitation Physician
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1023516499
- Entity type
- Organization
- NPI issued
- 31 Jan 2018
- Record last updated
- 12 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.