Organization
NEXUS PHYSIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WILLEY MD (PRESIDENT)
(520) 333-7785
Entity
Organization
Contact information
Practice address
16845 N 29TH AVE STE 1406, PHOENIX, AZ 85053-0412
(520) 333-7785
Mailing address
PO BOX 2510, MESA, AZ 85214-2510
(602) 432-0146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080539
—
AZ
Enumeration date
12/09/2020
Last updated
12/09/2020
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