NPI 1124724703
Healthyu Phoenix 40th St.
Practice location
- Address
- 15255 N 40th St STE 105, Phoenix, AZ 85032-4636
- Phone
- (602) 491-0703
- Mailing address
- 840 E McKellips Rd STE 105, Mesa, AZ 85203-9654
Authorised official
- Name
- Shane Speirs
- Title
- President
- Phone
- (480) 495-5485
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1124724703
- Entity type
- Organization
- NPI issued
- 6 Feb 2023
- Record last updated
- 6 Feb 2023
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.