Organization
HEALTHSTYLES SOUTHWEST, INC.
Active
Other names
Bashas' Healthstyles
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE D BRADT (PRESIDENT)
(602) 944-9626
Entity
Organization
Contact information
Practice address
1432 E NORTHERN AVE, PHOENIX, AZ 85020-4319
(602) 944-9626
(602) 216-7834
Mailing address
1432 E NORTHERN AVE, PHOENIX, AZ 85020-4319
(602) 944-9626
(602) 216-7834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
2471V0105X
Vascular Sonography Radiologic Technologist
—
—
Other
Enumeration date
04/06/2007
Last updated
04/09/2008
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