MEDICARE: RESTORATIVE HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1326687856
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESTORATIVE HEALTH PLLC

Provider Business Mailing Address
First Line	:	11818 N 55TH ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-4789
Country	:	US
Telephone Number	:	602-790-3271
Fax Number	:

Provider Business Practice Location Address
First Line	:	9700 N 91ST ST
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-5054
Country	:	US
Telephone Number	:	480-466-0788
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	HEIDI UNGAR
Credential	:	DO
Telephone Number	:	602-790-3271

Provider Enumeration Date	:	01/01/2020
Last Update Date	:	01/01/2020

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Directions to “RESTORATIVE HEALTH PLLC ” Practice Location

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