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Contact Information

ASPEN REHAB PLLC
1851 N GEMINI DR STE A
FLAGSTAFF, AZ86001-1607
 Phone: 480-821-9339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ASPEN REHAB PLLC

NPI # 1265104152
LBN Legal business name ASPEN REHAB PLLC
Authorized official JAMAL BALOUCH - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2021
Last updated 09/29/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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