Organization
ARISE PROSTHETICS LLC
Active
Other names
Arise Prosthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANDREW WERNER CPO (OWNER)
(602) 864-5560
Entity
Organization
Contact information
Practice address
1830 W COLTER ST, SUITE 101, PHOENIX, AZ 85015-9000
(602) 864-5560
(602) 864-4958
Mailing address
1830 W COLTER ST, SUITE 101, PHOENIX, AZ 85015-9000
(602) 864-5560
(602) 864-4958
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
545080
—
AZ
01
—
AZ0278780
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
10/23/2006
Last updated
08/22/2020
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