Organization
ASPIRE MEDICAL CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK J FRASSETTO III (CHIEF OPERATING OFFICER)
(928) 718-2225
Entity
Organization
Contact information
Practice address
2302 N STOCKTON HILL RD STE G, KINGMAN, AZ 86401-4100
(928) 718-2225
Mailing address
2302 N STOCKTON HILL RD STE G, KINGMAN, AZ 86401-4100
(928) 718-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174822381
—
AZ
05
—
1316078439
—
AZ
05
—
1568521151
—
AZ
05
—
1760456032
—
AZ
Enumeration date
11/21/2019
Last updated
02/05/2020
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