Organization Name: | H2B2AZ,LLC |
NPI Number: | 1558771378 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BILL NIEDERER (MANAGING MEMBER) |
Mailing Address: | 29850 N Tatum Blvd Suite 114 Cave Creek |
State: | AZ US |
Postal Code: | 853315867 |
Phone Number: | 4805622302 |
Fax Number: | 4809460901 |
NPI Enumeration Date: | 05/01/2014 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QI0500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Infusion Therapy |
Taxonomy Definition: |