Organization
MENDING SPOT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC RACITI PA-C (OWNER)
(808) 457-5807
Entity
Organization
Contact information
Practice address
3254 E CACTUS RD, PHOENIX, AZ 85032-7233
(808) 457-5807
(480) 467-0248
Mailing address
8315 E SAN BERNARDO DR, SCOTTSDALE, AZ 85258-2430
(808) 457-5807
(480) 467-0248
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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