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General NPI Number Information
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NPI Number | 1326687856
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Entity Type | Organization
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Legal Business Name | RESTORATIVE HEALTH PLLC
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Dates
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Enumeration Date | 01/01/2020
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Last Update Date | 01/01/2020
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Provider Practice Location Address
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Address Line | 9700 N 91ST ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5054
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Country | US
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Telephone | 480-466-0788
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Fax |
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Provider Business Mailing Address
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Address Line | 11818 N 55TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4789
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Country | US
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Telephone | 602-790-3271
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | HEIDI UNGAR
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Credential | DO
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Telephone | 602-790-3271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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