Organization
MY MYO MY HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYRAN DAVID RUBIO (BUSINESS MANAGER)
(602) 699-5983
Entity
Organization
Contact information
Practice address
2155 W PINNACLE PEAK RD STE 201, PHOENIX, AZ 85027-1203
(602) 699-5983
(480) 471-8160
Mailing address
2155 W PINNACLE PEAK RD STE 201, PHOENIX, AZ 85027-1203
(602) 699-5983
(480) 471-8160
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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