Organization
VISTA HEALTH AND WELLNESS
Active
Other names
Vista Health and
Organization subpart
No
Provider details
NPI number
Authorized official
GENER BENARDO (FOUNDER)
(602) 410-2569
Entity
Organization
Contact information
Practice address
1550 BRIDGER RD NE, RIO RANCHO, NM 87144-1579
(602) 410-2569
Mailing address
16031 N 16TH ST, PHOENIX, AZ 85022-3328
(602) 410-2569
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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