NPI 1306435854

Mountainside Fitness Acquisitions, LLC

Organisation Sports Medicine (Physical Medicine & Rehabilitation) Physician Surprise, AZ

Practice location

Address: 15455 W Bell Rd, Surprise, AZ 85374-3411
Phone: (623) 889-0374
Mailing address: 7135 E Camelback Rd, Scottsdale, AZ 85251-1262

Authorised official

Name: Eileen Ahern
Title: Credentialist
Phone: (800) 954-1800

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X

Other Physical Medicine & Rehabilitation providers in Arizona →

Registry record

NPI: 1306435854
Entity type: Organization
NPI issued: 11 Jan 2021
Record last updated: 11 Jan 2021

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.