Healthcare Provider Details

I. General information

NPI: 1285450940
Provider Name (Legal Business Name): FRANZ LEO ARAGON RRT/RCP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/27/2024
Last Update Date: 11/27/2024
Certification Date: 11/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 W COOLIDGE ST
PHOENIX AZ
85013-2638
US

IV. Provider business mailing address

1201 W COOLIDGE ST
PHOENIX AZ
85013-2638
US

V. Phone/Fax

Practice location:
  • Phone: 808-542-6562
  • Fax:
Mailing address:
  • Phone: 808-542-6562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2279C0205X
TaxonomyCritical Care Registered Respiratory Therapist
License Number52590
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: