Healthcare Provider Details

I. General information

NPI: 1124547682
Provider Name (Legal Business Name): CONSULTING OPTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5110 NORTH 44TH STREET SUITE L200
PHOENIX AZ
85018
US

IV. Provider business mailing address

5110 N 44TH ST STE L200
PHOENIX AZ
85018-1675
US

V. Phone/Fax

Practice location:
  • Phone: 602-343-2907
  • Fax: 602-532-7753
Mailing address:
  • Phone: 602-343-2907
  • Fax: 602-532-7753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number32018
License Number StateAZ

VIII. Authorized Official

Name: MS. MARTHA HERNANDEZ
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 602-343-2907