Organization
UNITY REM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CRIST (AUTHORIZED AGENT)
(317) 442-8436
Entity
Organization
Contact information
Practice address
4765 S LAKESHORE DR, TEMPE, AZ 85282-7197
(949) 683-0014
Mailing address
PO BOX 11180, TEMPE, AZ 85284-0020
(317) 442-8436
(480) 339-2409
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
01/23/2020
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