NPI 1336304229

Avesis Third Party Administrators, LLC

Organisation Exclusive Provider Organization Tempe, AZ

Practice location

Address: 1275 W Washington St STE 102, Tempe, AZ 85288-1859
Phone: (800) 643-1132

Authorised official

Name: Jennifer L Moore
Title: Regulatory License Manager
Phone: (207) 356-4244

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Arizona →

Registry record

NPI: 1336304229
Entity type: Organization
NPI issued: 21 Jul 2008
Record last updated: 4 Oct 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.