Organization
RED MOUNTAIN INTERVENTIONAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMBLEN DEAN FULLER (ORGANIZER)
(602) 793-0310
Entity
Organization
Contact information
Practice address
2745 S ALMA SCHOOL RD STE 3, CHANDLER, AZ 85286-4405
(480) 292-8542
(480) 292-8534
Mailing address
2745 S ALMA SCHOOL RD STE 3, CHANDLER, AZ 85286-4405
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/24/2017
Last updated
06/05/2019
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