Organization
GREENWAY BACKFIT MEDICAL VENTURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SENA FORD (COO)
(480) 926-7800
Entity
Organization
Contact information
Practice address
2302 W GREENWAY RD, PHOENIX, AZ 85023-4235
(877) 222-5348
Mailing address
PO BOX 6610, CHANDLER, AZ 85246-6610
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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