Provider Demographics
NPI:1851724348
Name:SCHRECK, AARON ANDREW (CCP)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:ANDREW
Last Name:SCHRECK
Suffix:
Gender:M
Credentials:CCP
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1830 S ALMA SCHOOL RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85210-3056
Mailing Address - Country:US
Mailing Address - Phone:480-248-3050
Mailing Address - Fax:480-248-3099
Practice Address - Street 1:1830 S ALMA SCHOOL RD
Practice Address - Street 2:SUITE 108
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85210-3056
Practice Address - Country:US
Practice Address - Phone:480-248-3050
Practice Address - Fax:480-248-3099
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ129106-1330242T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist