Healthcare Provider Details

I. General information

NPI: 1164172425
Provider Name (Legal Business Name): FUSION HEALTHWAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2022
Last Update Date: 03/28/2022
Certification Date: 03/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1957 E AZALEA CT
GILBERT AZ
85298-3232
US

IV. Provider business mailing address

1957 E AZALEA CT
GILBERT AZ
85298-3232
US

V. Phone/Fax

Practice location:
  • Phone: 480-771-5222
  • Fax:
Mailing address:
  • Phone: 480-771-5222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROLLIN J WEBB
Title or Position: CEO/FOUNDER
Credential:
Phone: 480-771-5222