Organization
MOUNTAINSIDE FITNESS ACQUISITIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN AHERN (CREDENTIALIST)
(800) 954-1800
Entity
Organization
Contact information
Practice address
300 E RIO SALADO PKWY STE 102, TEMPE, AZ 85281-0800
(480) 664-6209
Mailing address
7135 E CAMELBACK RD, SCOTTSDALE, AZ 85251-1262
(480) 706-8963
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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