Organization
AGAVE PHYSICIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHETT S ANDERSEN (MEMBER)
(801) 420-0077
Entity
Organization
Contact information
Practice address
3240 E UNION HILLS DR STE 145, PHOENIX, AZ 85050-2652
(602) 855-3500
(855) 930-3500
Mailing address
1008 N 1100 E, PLEASANT GROVE, UT 84062-2066
(801) 420-0077
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up