| Organization Name: | COMPASS MEDICAL CENTER PLLC |
| NPI Number: | 1801288600 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUSTIN WOODSIDE (OWNER) |
| Mailing Address: | 1300 S Main St Ste A Snowflake |
| State: | AZ US |
| Postal Code: | 859375661 |
| Phone Number: | 9285365525 |
| Fax Number: | 9285363010 |
| NPI Enumeration Date: | 03/03/2015 |
| NPI Last Update Date: | 03/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |