Organization
PRODIGY HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL STARKLE (MANAGER)
(480) 999-0259
Entity
Organization
Contact information
Practice address
460 N MESA DR STE 101, MESA, AZ 85201-5949
(480) 237-7210
Mailing address
460 N MESA DR STE 101, MESA, AZ 85201-5949
(480) 237-7210
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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