Organization
IDEAL PHYSIQUES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODRIGO CASTILLO (CEO)
(480) 297-8505
Entity
Organization
Contact information
Practice address
2980 N HAYDEN RD, SCOTTSDALE, AZ 85251-6615
(480) 305-6410
Mailing address
7355 E THOMPSON PEAK PKWY APT O2009, SCOTTSDALE, AZ 85255-4260
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/10/2020
Last updated
01/10/2020
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