Organization · Type 2 NPI
Rebel Enterprise LLC
Podiatric Clinic/Center · Mesa, AZ
NPI number
1467147546
Active
Practice location
2855 E Brown Rd Ste 18
Mesa, AZ 85213-4216
Mailing address
3465 N Orchard
Mesa, AZ 85213-2090
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatric Clinic/Center Primary | 261QP1100X | None listed |
Podiatric Clinic/Center: Definition to come...
About NPI 1467147546
Rebel Enterprise LLC's National Provider Identifier is 1467147546, issued on Apr 6, 2023. The primary taxonomy on file is Podiatric Clinic/Center (261QP1100X), and the practice location is in Mesa, AZ. The record was last updated on Oct 3, 2023.