Whalio Doctors

NPI 1043797467

Pb Medical Group of Arizona, LLC

Organisation Substance Abuse Rehabilitation Facility Scottsdale, AZ

Practice location

Address
12816 E Turquoise Ave, Scottsdale, AZ 85259-5300
Phone
(480) 840-2588
Fax
(480) 773-7340
Mailing address
PO Box 207801, Dallas, TX 75320-7801

Authorised official

Name
Marina Freeman
Title
Edi/Credentialing Specialist
Phone
(615) 567-7256

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1043797467
Entity type
Organization
NPI issued
27 Jul 2018
Record last updated
20 Aug 2019

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.