Organization · Type 2 NPI

Bison Health LLC

Multi-Specialty Clinic/Center · Phoenix, AZ

NPI number 1114506003 Active

Practice location

11201 N Tatum Blvd Ste 360-42
Phoenix, AZ 85028-6036

Call (725) 222-9502 Map

Fax (725) 209-0381

Mailing address

4132 S Rainbow Blvd # 149
Las Vegas, NV 89103-3106

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1114506003

Bison Health LLC's National Provider Identifier is 1114506003, issued on Apr 7, 2021. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 7, 2021.