Healthcare Provider Details

I. General information

NPI: 1477745362
Provider Name (Legal Business Name): IMMEDIATE RESPIRATORY STAFFERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 08/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3615 N 16TH ST SUITE 21
PHOENIX AZ
85016-6437
US

IV. Provider business mailing address

3615 N 16TH ST SUITE 21
PHOENIX AZ
85016-6437
US

V. Phone/Fax

Practice location:
  • Phone: 602-234-0494
  • Fax: 602-266-6542
Mailing address:
  • Phone: 602-234-0494
  • Fax: 602-266-6542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK DAVID FINKELSTEIN
Title or Position: PRESIDENT
Credential: CRT
Phone: 602-234-0494