Organization
HEELEX 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD JEFFERSON SCARBROUGH MD (MD, OWNER)
(865) 999-5898
Entity
Organization
Contact information
Practice address
12329 W. BOLA DRIVE, SURPRISE, AZ 85378
(865) 999-5898
Mailing address
12329 W. BOLA DRIVE, SURPRISE, AZ 85378
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2085R0203X
Therapeutic Radiology Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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