Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MIRA VITA METAMOPHOSIS, LLC
Active OrganizationMIRA VITA METAMOPHOSIS, LLC is a Internal Medicine organization located in GLENDALE, Arizona. NPI 1073910873 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · GLENDALE, AZ
Registration Details
- NPI Number
- 1073910873
- Provider Type
- Organization
- NPI Issued
- Nov 24, 2014 (11.733903428044 yrs)
- Last Updated
- Jan 30, 2020
- License
-
4223 (AZ)
Practice Information
- Address
-
5620 W THUNDERBIRD RD STE H2GLENDALE, AZ, 853064653Browse AZ providers · Browse ZIP 85306
- Phone
- 4804079007
- Fax
- 8338176790
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Organizations in GLENDALE, AZ
| Name | NPI |
|---|---|
| THUNDERBIRD INTERNAL MEDICINE, LTD. | 1407837149 |
| IPN OF ARIZONA, PLC | 1538119284 |
| BERMAN MEDICAL CONSULTING, PC | 1457303539 |
| TBIRD HOSPITALIST GROUP, LLC | 1134155724 |
| WEST VALLEY INTERNAL MEDICINE ASSOCIATES LLC | 1154461903 |
| ARROWHEAD MEDICAL INC. | 1295932770 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.