Provider Demographics
NPI:1760044689
Name:MULTUS MEDICAL, LLC
Entity Type:Organization
Organization Name:MULTUS MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:DESIRAE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-318-2349
Mailing Address - Street 1:3033 N 44TH ST STE 375
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-7243
Mailing Address - Country:US
Mailing Address - Phone:480-487-1426
Mailing Address - Fax:
Practice Address - Street 1:3033 N 44TH ST STE 375
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-7243
Practice Address - Country:US
Practice Address - Phone:480-487-1426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744G0900XOther Service ProvidersSpecialistGraphics DesignerGroup - Single Specialty