Organization
TRIVITA PROFESSIONAL WELLNESS
Active
Other names
TriVita Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL JOHN BERNITT (ADMINISTRATOR)
(480) 337-4148
Entity
Organization
Contact information
Practice address
16100 N GREENWAY HAYDEN LOOP, G-100, SCOTTSDALE, AZ 85260-1652
(480) 337-4140
Mailing address
16100 N GREENWAY HAYDEN LOOP, G-100, SCOTTSDALE, AZ 85260-1652
(480) 337-4140
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
—
—
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
08/17/2016
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