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Contact Information

CALGARY MEDICAL LLC
4540 E BASELINE RD
SUITE 105
MESA, AZ85206-4613
 Phone: 480-272-8944
 Fax: 480-237-5682
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

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

NPI Profile & details for CALGARY MEDICAL LLC

NPI # 1740601962
LBN Legal business name CALGARY MEDICAL LLC
Authorized official JEREMY BUCKNER - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/16/2013
Last updated 12/16/2013 - About 12 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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