Organization
CERCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK ROBERTS (CEO)
(602) 622-3126
Entity
Organization
Contact information
Practice address
13215 N VERDE RIVER DR, FOUNTAIN HILLS, AZ 85268-8308
(602) 622-3126
Mailing address
PO BOX 19480, FOUNTAIN HILLS, AZ 85269-9480
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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