Provider Demographics
NPI:1265830160
Name:SYNERCHI SYSTEMS INC
Entity Type:Organization
Organization Name:SYNERCHI SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HEFFERON
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CCSP
Authorized Official - Phone:602-748-5940
Mailing Address - Street 1:2131 E BROADWAY RD
Mailing Address - Street 2:STE 2
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-1737
Mailing Address - Country:US
Mailing Address - Phone:602-748-5940
Mailing Address - Fax:480-686-9125
Practice Address - Street 1:2131 E BROADWAY RD
Practice Address - Street 2:STE 2
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-1737
Practice Address - Country:US
Practice Address - Phone:602-748-5940
Practice Address - Fax:480-686-9125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7656261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center