Provider Demographics
NPI:1861061657
Name:PRECISION ASSIST LLC
Entity type:Organization
Organization Name:PRECISION ASSIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:ADAMS-BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:602-329-2710
Mailing Address - Street 1:PO BOX 10121
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85318-0121
Mailing Address - Country:US
Mailing Address - Phone:602-329-2710
Mailing Address - Fax:
Practice Address - Street 1:33400 N 32ND AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-8876
Practice Address - Country:US
Practice Address - Phone:602-329-2710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-24
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty