Dr Dean D Ettinger, MD | |
2581 E Murdoch Ct, Green Valley, AZ 85614 | |
(520) 266-3549 | |
Not Available |
Full Name | Dr Dean D Ettinger |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 2581 E Murdoch Ct, Green Valley, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548257009 | NPI | - | NPPES |
235079002 | Medicaid | AZ | |
1689925711 | Other | GROUP NPI | |
1548257009 | Other | PERSONAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 12142 (Arizona) | Secondary |
207R00000X | Internal Medicine | AZ12142 (Arizona) | Primary |
Entity Name | Dean D Ettinger Md Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689925711 PECOS PAC ID: 3173413051 Enrollment ID: O20040316000556 |
Mailing Address | Practice Location Address |
---|---|
Dr Dean D Ettinger, MD 155 Calle Portal, Suite 200, Sierra Vista, AZ 85635-2900 Ph: (520) 458-0660 | Dr Dean D Ettinger, MD 2581 E Murdoch Ct, Green Valley, AZ 85614 Ph: (520) 266-3549 |
Howard J Rolins, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 W Camino Casa Verde, Green Valley, AZ 85614 Phone: 520-625-1760 Fax: 520-648-1394 | |
Dr. Sivamurthy Kyathari, M.D Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 514 E Whitehouse Canyon Rd Ste 110, Green Valley, AZ 85614 Phone: 520-689-7030 Fax: 520-395-9796 | |
Rossa Khalaf, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 121 W Esperanza Blvd # 181, Green Valley, AZ 85614 Phone: 520-689-6992 Fax: 520-230-3310 | |
Dr. Marvin B Padnick, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 4475 S I 19 Frontage Rd Ste 255, Green Valley, AZ 85614 Phone: 520-393-4863 | |
Joy L Logan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4475 S L-19 Frontage Road, Suite 101, Green Valley, AZ 85614 Phone: 520-585-4590 Fax: 520-398-7540 | |
Dr. Fred P Mendoza, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 N. Lacanada Blvd, Suite 121, Green Valley, AZ 85614 Phone: 520-547-7770 Fax: 520-547-7775 | |
Ruben Calvillo, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1141 S La Canada Dr, Green Valley, AZ 85614 Phone: 520-694-3030 Fax: 520-694-3055 |