# BESO WELLNESS AND LONGEVITY CENTER, PLLC

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

## Provider details

- **NPI number:** 1639885031
- **Authorized official:** MS. NAOMI FAYZULAYEV FNP-BC (OWNER)
- **Authorized official phone:** (480) 447-8166

## Contact information

- **Practice address:** 4731 E UNION HILLS DR STE 114, PHOENIX, AZ 85050-3319
- **Practice address phone:** (480) 447-8166
- **Practice address fax:** (480) 562-5913
- **Mailing address:** 4731 E UNION HILLS DR STE 114, PHOENIX, AZ 85050-3319
- **Mailing address phone:** (480) 447-8166
- **Mailing address fax:** (480) 562-5913

## Taxonomy

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

## Other

- **Enumeration date:** 01/30/2023
- **Last updated:** 01/30/2023