Provider Demographics
NPI:1568167799
Name:EMPOWER WELLNESS ENDOCRINOLOGY & METABOLISM P.A.
Entity Type:Organization
Organization Name:EMPOWER WELLNESS ENDOCRINOLOGY & METABOLISM P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICIAN ASSOCIATE
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:602-674-8868
Mailing Address - Street 1:1615 E WARNER RD STE 1
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-4500
Mailing Address - Country:US
Mailing Address - Phone:602-326-6703
Mailing Address - Fax:
Practice Address - Street 1:1615 E WARNER RD STE 1
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-4500
Practice Address - Country:US
Practice Address - Phone:602-326-6703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Multi-Specialty