Organization
SAGUARO BLOOM MED SPA LLC
Active
Organization
SAGUARO BLOOM MED SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE MEAHAN AGACNP-BC (OWNER, NURSE PRACTITIONER)
(314) 707-5676
Entity
Organization
Contact information
Practice address
15323 N SCOTTSDALE ROAD, SUITE 180, ROOM 12, SCOTTSDALE, AZ 85254
(315) 707-5676
Mailing address
5243 E THUNDER HAWK RD, CAVE CREEK, AZ 85331-5593
(314) 707-5676
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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