Organization
RECOVERY ROOM IV THERAPY LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANETTE KEETON (OWNER)
(480) 562-1974
Entity
Organization
Contact information
Practice address
5333 N 7TH ST STE B112, PHOENIX, AZ 85014-2840
(480) 562-1974
Mailing address
5333 N 7TH ST STE B112, PHOENIX, AZ 85014-2840
(480) 562-1974
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
03/04/2022
Last updated
01/30/2024
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