Organization
HONORHEALTH AMBULATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NEIL (EVP/CPE)
(480) 587-5123
Entity
Organization
Contact information
Practice address
5681 W BEVERLY LN STE 101, GLENDALE, AZ 85306-9800
(480) 962-0071
Mailing address
2500 W UTOPIA RD, PHOENIX, AZ 85027-4171
(480) 587-5314
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/07/2021
Last updated
03/21/2023
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