SearchArizona363AM0700X

R West, PA

NPI 1275984288 · on the registry since 2016

Practice

Address
15411 W Waddell Rd Ste 102
Surprise, AZ 85379
Phone
(623) 396-6840
Organisation at this address
Patheway Life
Thrive Health Holdings, Inc.
Renewed Perspectives Counseling
Royulty By Dezign Enterprize Inc
Age Of Wisdom Senior Care Services, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Sex
Male
Record last updated
2025-10-14

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