Individual
DAVE BAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15795 W SHAW BUTTE DR, SURPRISE, AZ 85379-1001
(602) 332-9174
Mailing address
15795 W SHAW BUTTE DR, SURPRISE, AZ 85379-1001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9823H
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314544
—
AZ
Enumeration date
10/30/2017
Last updated
10/30/2017
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