Organization
NES ARIZONA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MOORE (CFO)
(415) 435-4591
Entity
Organization
Contact information
Practice address
450 S OCOTILLO AVE, BENSON, AZ 85602-6403
(520) 586-2261
Mailing address
PO BOX 31054, BELFAST, ME 04915-0139
(800) 377-8721
(304) 697-1155
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028615
—
AZ
Enumeration date
06/11/2015
Last updated
12/29/2022
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