Healthcare Provider Details

I. General information

NPI: 1669825816
Provider Name (Legal Business Name): 29 CONSULTANTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2016
Last Update Date: 07/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6424 E GREENWAY PKWY 100
SCOTTSDALE AZ
85254-2045
US

IV. Provider business mailing address

6424 E GREENWAY PKWY 100
SCOTTSDALE AZ
85254-2045
US

V. Phone/Fax

Practice location:
  • Phone: 480-567-0315
  • Fax: 480-579-3246
Mailing address:
  • Phone: 480-567-0315
  • Fax: 480-579-3246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: MR. DONALD CALDWELL
Title or Position: OWNER
Credential:
Phone: 480-567-0315