Healthcare Provider Details

I. General information

NPI: 1225359359
Provider Name (Legal Business Name): FACILITIES BILLING ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2010
Last Update Date: 06/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10025 E DYNAMITE BLVD SUITE 150
SCOTTSDALE AZ
85262-3688
US

IV. Provider business mailing address

10025 E DYNAMITE BLVD SUITE B 130
SCOTTSDALE AZ
85262-3688
US

V. Phone/Fax

Practice location:
  • Phone: 480-419-1189
  • Fax:
Mailing address:
  • Phone: 480-419-1189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDER BIGHAM
Title or Position: MANAGER
Credential: D.C
Phone: 480-419-1189