Organization
FIESTA HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WINTER (BILLING MANAGER)
(602) 577-8836
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
(480) 649-5297
(480) 649-1790
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/25/2014
Last updated
10/14/2022
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