Organization
PRISM BARIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J DEBARROS MD (OWNER)
(480) 292-5145
Entity
Organization
Contact information
Practice address
4860 E BASELINE RD STE 105, MESA, AZ 85206-4670
(480) 485-8585
Mailing address
4860 E BASELINE RD STE 105, MESA, AZ 85206-4670
(480) 485-8585
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/24/2021
Last updated
12/24/2021
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