NPI 1871862599
Avesis, LLC
Practice location
- Address
- 1275 W Washington St STE 102, Tempe, AZ 85288-1859
- Phone
- (800) 522-0258
Authorised official
- Name
- Jennifer L Moore
- Title
- Regulatory License Manager
- Phone
- (207) 356-4244
Registered specialties
Exclusive Provider Organization
Primary
Registry record
- NPI
- 1871862599
- Entity type
- Organization
- NPI issued
- 27 Dec 2011
- 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.