Jiaxi Dong, DO | |
17900 N Porter Rd, Maricopa, AZ 85138-4228 | |
(520) 233-2500 | |
Not Available |
Full Name | Jiaxi Dong |
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Gender | Male |
Speciality | Internal Medicine |
Location | 17900 N Porter Rd, Maricopa, 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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1801359385 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 009412 (Arizona) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | 009412 (Arizona) | Secondary |
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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Jiaxi Dong, DO 17900 N Porter Rd, Maricopa, AZ 85138-4228 Ph: (520) 233-2500 | Jiaxi Dong, DO 17900 N Porter Rd, Maricopa, AZ 85138-4228 Ph: (520) 233-2500 |
Kyle J Stoeckmann, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 21300 N John Wayne Parkway, Ste 123, Maricopa, AZ 85239 Phone: 520-494-7778 Fax: 520-494-7779 | |
Hiram A. Rivera Padilla, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17900 N Porter Rd, Maricopa, AZ 85138 Phone: 520-233-2500 Fax: 520-233-2574 | |
Kristina Donnay, FNP-C Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 41600 W Smith Enke Rd Ste 3, Maricopa, AZ 85138 Phone: 520-464-6193 |