Organization
REFLEXION MEDICAL REJUVENATION CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD R BALL MD (MEDICAL DIRECTOR)
(623) 266-1041
Entity
Organization
Contact information
Practice address
14815 W BELL RD STE 104, SURPRISE, AZ 85374-7603
(623) 266-1041
Mailing address
14815 W BELL RD STE 104, SURPRISE, AZ 85374-7603
(623) 266-1041
(602) 429-8613
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A7737585
OUT OF NETWORK
AZ
Enumeration date
08/21/2019
Last updated
08/21/2019
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