AGAVE PHYSICIAN SERVICES LLC

PHOENIX, AZ
NPI1053082263
Entity TypeOrganization
Authorized ContactRHETT S ANDERSEN
Member
801-420-0077
Organization Subpart ?No
Primary Taxonomy207RH0002X Internal Medicine Hospice and Palliative Medicine
Enumeration Date2021-09-27
Last Update Date2021-09-27
Business Address
AGAVE PHYSICIAN SERVICES LLC
3240 E UNION HILLS DR STE 145
PHOENIX, AZ 85050-2652
Phone number: 602-855-3500
Mailing Address
AGAVE PHYSICIAN SERVICES LLC
1008 N 1100 E
PLEASANT GROVE, UT 84062-2066
Phone number: 801-420-0077