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Organization
FAST IV THERAPY, LLC
Active
Organization
FAST IV THERAPY, LLC
Active
Other names
Fast House Calls
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DALTON MCGHEE (PRACTICE MANAGER)
(480) 885-1827
Entity
Organization
Contact information
Practice address
64 E BROADWAY RD, STE 200, TEMPE, AZ 85282
(480) 378-8000
Mailing address
64 E BROADWAY RD, STE 200, TEMPE, AZ 85282
(480) 378-8000
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
—
NULL
126800000X
Dental Assistant
—
—
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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