Organization
NEW VIDA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL POPOWYCH (OWNER)
(480) 497-5933
Entity
Organization
Contact information
Practice address
3048 E BASELINE RD STE 122, MESA, AZ 85204-7288
(480) 497-5933
Mailing address
PO BOX 838, GILBERT, AZ 85299-0838
(480) 497-5933
(480) 497-5934
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2024
Last updated
11/01/2024
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