Organization
RISE WELLNESS CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM WINTER (BILLING MANAGER)
(602) 577-8836
Entity
Organization
Contact information
Practice address
15300 N 90TH ST STE 950, SCOTTSDALE, AZ 85260-2774
(480) 941-2147
(480) 941-2157
Mailing address
15300 N 90TH ST STE 950, SCOTTSDALE, AZ 85260-2774
(480) 941-2147
(480) 941-2157
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
2830
AZ
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2830
AZ
Other
Enumeration date
09/04/2013
Last updated
10/28/2013
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