Organization
OPULENT HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES BENJAMIN HACKETT FNP-C (NURSE PRACTITIONER)
(520) 505-1350
Entity
Organization
Contact information
Practice address
2001 W ORANGE GROVE RD STE 312, TUCSON, AZ 85704-1141
(520) 297-3907
(520) 989-3486
Mailing address
PO BOX 36627, TUCSON, AZ 85740-6627
(520) 297-3907
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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