Organization
REPOWER MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONESE WORDEN NMD (OWNER)
(480) 231-0640
Entity
Organization
Contact information
Practice address
7254 E SOUTHERN AVE STE 113, MESA, AZ 85209-2787
(480) 588-2233
(480) 588-2235
Mailing address
7254 E SOUTHERN AVE STE 113, MESA, AZ 85209-2787
(480) 588-2233
(480) 588-2235
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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