Organization
RED MOUNTAIN TREATMENT CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN TENNANT (DC)
(999) 999-9999
Entity
Organization
Contact information
Practice address
2745 S ALMA SCHOOL RD STE 3, CHANDLER, AZ 85286-4405
(480) 626-1746
Mailing address
2745 S ALMA SCHOOL RD STE 3, CHANDLER, AZ 85286-4405
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
08/06/2019
Last updated
12/30/2019
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