Organization
ARIZONA PM&R LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY FORBES (OWNER)
(480) 221-7054
Entity
Organization
Contact information
Practice address
1303 S LONGMORE STE 8, MESA, AZ 85202-9607
(480) 649-5297
(480) 649-1790
Mailing address
1303 S LONGMORE STE 8, MESA, AZ 85202-9607
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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