Dr Nicholas Connor Galvin, DO | |
117 E Main St Ste A100, Payson, AZ 85541-4606 | |
(928) 596-4500 | |
Not Available |
Full Name | Dr Nicholas Connor Galvin |
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Gender | Male |
Speciality | Family Medicine |
Location | 117 E Main St Ste A100, Payson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1912573825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 011115 (Arizona) | Primary |
Entity Name | Banner Primary Care Physicians Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898 |
Mailing Address | Practice Location Address |
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Dr Nicholas Connor Galvin, DO 5700 E Highway 90, Sierra Vista, AZ 85635-9110 Ph: () - | Dr Nicholas Connor Galvin, DO 117 E Main St Ste A100, Payson, AZ 85541-4606 Ph: (928) 596-4500 |
Mr. Michael Keene Demack, PA C S Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 806 S Ponderosa St, Payson, AZ 85541 Phone: 928-468-8603 Fax: 928-468-8625 | |
James W Schouten, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 708 Coeur D'alene, Payson, AZ 85541 Phone: 928-474-5259 Fax: 925-472-8832 | |
Dr. Kevin Kyle Raymer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 126 E Main St Ste B, Payson, AZ 85541 Phone: 928-472-4675 Fax: 928-472-3431 | |
Adam Kemp Crandell, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 117 E Main St Ste A100, Payson, AZ 85541 Phone: 928-596-4500 | |
Jennifer Dumbolton, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 122 E Main St, Payson, AZ 85541 Phone: 928-474-2888 Fax: 928-474-2992 | |
Debbie Alaina Mcginn, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 E Main St Ste 100, Payson, AZ 85541 Phone: 928-596-4500 | |
Dr. John Howard Dumbolton, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 306 N Pioneer Trl, Payson, AZ 85541 Phone: 928-468-2195 |