Organization
ALIGN MEDICAL LLC
Active
Other names
Align Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LEE HAWKINS (OWNER)
(623) 383-0880
Entity
Organization
Contact information
Practice address
17014 W BELL RD STE 103, SURPRISE, AZ 85374-2479
(623) 383-0880
(602) 680-5161
Mailing address
17014 W BELL RD STE 103, SURPRISE, AZ 85374-2479
(623) 229-6193
(602) 680-5161
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
AP8524
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z196127
—
AZ
Enumeration date
01/25/2016
Last updated
04/02/2024
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