SearchArizona363LA2100X

Anthony Populo, DNP

NPI 1033739081 · on the registry since 2020 · sole proprietor

Practice

Address
1700 W Whitton Ave
Phoenix, AZ 85015
Phone
(602) 318-4383
Organisation at this address
Well Life Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
363LA2100X
363LA2100X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona