Genhealth
Legal Business Name
Genhealth
NPI Number
1144799792
NPI Type
Organization
Enumeration Date
11/13/2018
Specialties
(Taxonomies)Name
Code
101YA0400X
2084P0802X
2084P0804X
101Y00000X
103TP2701X
101YM0800X
133N00000X
101YP1600X
183500000X
Primary Taxonomy
No
No
No
No
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
14441 W MCDOWELL RD STE B102
14441 W MCDOWELL RD STE B102
City
Goodyear
Goodyear
State
AZ
AZ
Postal Code
85395-2519
85395-2519
Country
US
US
Telephone Number
(480) 516-8037
(480) 516-8037
Authorized Official
Name
David Ross
Title or Position
CEO
Telephone Number
(480) 516-8037
Identifiers
Identifier
729400
Identifier State
AZ
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/14/2021