Healthcare Provider Details
I. General information
NPI: 1871415588
Provider Name (Legal Business Name): HONORHEALTH OCCUPATIONAL MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1810 S POWER RD STE 101
MESA AZ
85206-4325
US
IV. Provider business mailing address
2500 W UTOPIA RD
PHOENIX AZ
85027-4171
US
V. Phone/Fax
- Phone: 623-683-9309
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QX0100X |
| Taxonomy | Occupational Medicine Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
NEIL
Title or Position: CMO
Credential:
Phone: 480-587-5123