Provider Demographics
NPI:1154092013
Name:UGLOW F & B LLC
Entity Type:Organization
Organization Name:UGLOW F & B LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-439-6730
Mailing Address - Street 1:4205 N WINFIELD SCOTT PLZ STE 6
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3936
Mailing Address - Country:US
Mailing Address - Phone:571-439-6730
Mailing Address - Fax:703-757-6195
Practice Address - Street 1:4205 N WINFIELD SCOTT PLZ STE 6
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3936
Practice Address - Country:US
Practice Address - Phone:571-439-6730
Practice Address - Fax:703-757-6195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty