Organization
REBEL ENTERPRISE LLC
Active
Other names
The Foot
Organization subpart
No
Provider details
NPI number
Authorized official
JARED LEBER DPM (PODIATRIST)
(602) 686-9594
Entity
Organization
Contact information
Practice address
2855 E BROWN RD STE 18, MESA, AZ 85213-4216
(602) 345-0063
Mailing address
3465 N ORCHARD, MESA, AZ 85213-2090
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
10/03/2023
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