Organization
AZ INFUSION SOLUTIONS LLC
Active
Other names
Profera Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN L BERMUDEZ NP (MEDICAL DIRECTOR)
(623) 414-7625
Entity
Organization
Contact information
Practice address
14050 N 83RD AVE STE 290, PEORIA, AZ 85381-5650
(623) 414-7625
(916) 244-3578
Mailing address
14050 N 83RD AVE STE 290, PEORIA, AZ 85381-5650
(623) 414-7625
(916) 244-3578
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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