National Provider Identifier Database

PRISTINE MEDICAL LLC
Urgent Care


Contact Information

PRISTINE MEDICAL LLC
4040 E MCDOWELL RD STE 119
PHOENIX, AZ85008-4428
Phone: 602-633-9700
Fax:
Website:
Specialty Taxonomy Code
* Urgent Care 261QU0200X

* Indicates primary specialty

NPI Profile & details for PRISTINE MEDICAL LLC

NPI Number 1477214096
Legal business name
LBN
PRISTINE MEDICAL LLC
Authorized official YURIY MIRZAKANDOV - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/05/2022
Last updated 01/05/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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