Organization
PRESTIGE VIRTUAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN EUGENE HOOPPAW (CEO)
(480) 206-5619
Entity
Organization
Contact information
Practice address
10830 N 71ST PL STE 105, SCOTTSDALE, AZ 85254-6105
(480) 206-5619
Mailing address
10830 N 71ST PL STE 105, SCOTTSDALE, AZ 85254-6105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/11/2022
Last updated
05/01/2023
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