Organization
LIFELINK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN DEODATO MOORE (CO-FOUNDER / PRESIDENT)
(888) 643-1254
Entity
Organization
Contact information
Practice address
3039 W PEORIA AVE STE 102-125, PHOENIX, AZ 85029-5212
(888) 643-1253
Mailing address
3039 W PEORIA AVE STE 102-125, PHOENIX, AZ 85029-5212
(888) 643-1253
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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