NPI 1982872693

Kohlhase

Organisation Supports Brokerage Agency Mesa, AZ

Practice location

Address: 6550 E Main Street, Mesa, AZ 85205-9041
Phone: (480) 832-8370
Fax: (480) 985-9411

Authorised official

Name: Luke Slabaugh
Title: Broker Agent
Phone: (480) 832-8370

Registered specialties

Supports Brokerage Agency Primary

Agencies Taxonomy 251X00000X Licence 150653 (AZ)

Other Supports Brokerage providers in Arizona →

Registry record

NPI: 1982872693
Entity type: Organization
NPI issued: 15 Feb 2008
Record last updated: 15 Feb 2008

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.