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NPI Code Detail

MEDICARE: BLISS MEDICAL SPA AND WELLNESS PLLC

MEDICARE: BLISS MEDICAL SPA AND WELLNESS 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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1427873835
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLISS MEDICAL SPA AND WELLNESS PLLC
Provider Business Mailing Address
First Line : 5710 W BELL RD STE 29
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-3805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5710 W BELL RD STE 29
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-3805
Country : US
Telephone Number : 602-880-8777
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DAWN DEWANE
Credential : FNP
Telephone Number : 602-880-8777
Provider Enumeration Date : 11/20/2024
Last Update Date : 01/05/2025

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Directions to “BLISS MEDICAL SPA AND WELLNESS PLLC ” Practice Location

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