# THE FIX MED SPA, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043922131
- **Authorized official:** MARISA GOODMAN (OFFICE MANAGER)
- **Authorized official phone:** (928) 965-0974

## Contact information

- **Practice address:** 1491 W THATCHER BLVD STE 102, SAFFORD, AZ 85546-3431
- **Practice address phone:** (928) 965-0974
- **Mailing address:** 1491 W THATCHER BLVD STE 102, SAFFORD, AZ 85546-3431
- **Mailing address phone:** (928) 965-0974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2022
- **Last updated:** 12/20/2022