Organization
STAGEZERO PHYSICIAN HOLDINGS INC
Active
Organization
STAGEZERO PHYSICIAN HOLDINGS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAHRRELL JAMES (CONTROLLER)
(804) 762-0666
Entity
Organization
Contact information
Practice address
8825 N 23RD AVE STE 100, PHOENIX, AZ 85021-4148
(804) 762-0666
Mailing address
8751 PARK CENTRAL DR STE 200, RICHMOND, VA 23227-1162
(804) 762-0666
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
INSURANCE AGENCIES
AZ
Enumeration date
07/19/2021
Last updated
07/19/2021
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