# RED MOUNTAIN WEIGHT LOSS SWAN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Red Mountain Weight Loss
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912676404
- **Authorized official:** DR. SUZANNE BENTZ DO (OWNER & CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (480) 347-3413

## Contact information

- **Practice address:** 2941 N SWAN RD STE 115, TUCSON, AZ 85712-1272
- **Practice address phone:** (480) 347-3413
- **Mailing address:** 14000 N HAYDEN RD STE 180, SCOTTSDALE, AZ 85260-5561
- **Mailing address phone:** (480) 347-3413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/08/2021
- **Last updated:** 09/08/2021