NPI 1710527486
Ideal Physiques
Practice location
- Address
- 2980 N Hayden Rd, Scottsdale, AZ 85251-6615
- Phone
- (480) 305-6410
- Mailing address
- 7355 E Thompson Peak Pkwy APT O2009, Scottsdale, AZ 85255-4260
Authorised official
- Name
- Rodrigo Castillo
- Title
- Ceo
- Phone
- (480) 297-8505
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1710527486
- Entity type
- Organization
- NPI issued
- 10 Jan 2020
- Record last updated
- 10 Jan 2020
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.