MEDICARE: DEPENDENCY RELIEF SPECIALISTS

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	207LA0401X	Addiction Medicine (Anesthesiology) Physician		AZ

General Provider Information

NPI Number	:	1891173340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEPENDENCY RELIEF SPECIALISTS

Provider Business Mailing Address
First Line	:	1452 N HIGLEY RD
Second Line	:	SUITE 101
City	:	GILBERT
State	:	AZ
Zip	:	85234-1610
Country	:	US
Telephone Number	:	623-262-3514
Fax Number	:	480-275-3538

Provider Business Practice Location Address
First Line	:	1452 N HIGLEY RD
Second Line	:	SUITE 101
City	:	GILBERT
State	:	AZ
Zip	:	85234-1610
Country	:	US
Telephone Number	:	623-262-3514
Fax Number	:	480-275-3538

Authorized Official
Title or Position	:	OWNER
Name	:	DR. LAWRENCE ROBERT READER
Credential	:	MD
Telephone Number	:	623-262-3514

Provider Enumeration Date	:	05/15/2015
Last Update Date	:	07/20/2016

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