Organization
RESTASSURED RX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICA N BOEHLE (OWNER)
(480) 552-9912
Entity
Organization
Contact information
Practice address
2423 W DUNLAP AVE STE 150, PHOENIX, AZ 85021-5818
(480) 552-9912
(888) 898-5743
Mailing address
2423 W DUNLAP AVE STE 175, PHOENIX, AZ 85021-5823
(602) 424-4450
(602) 424-4451
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2017
Last updated
08/16/2022
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