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35 K St Ne Washington DC 20002-4216 | |
| (202) 839-3500 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 35 K St Ne, Washington, District Of Columbia |
| Authorized Official Name and Position | John Hogeboom (PRESIDENT/CEO) |
| Authorized Official Contact | 4808317566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
1855 W Baseline Rd Ste 101 Mesa AZ 85202-9098 Ph: (480) 831-7566 | 35 K St Ne Washington DC 20002-4216 Ph: (202) 839-3500 |
| NPI Number | 1285321158 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 2062699721 |
|---|---|
| Medicare Enrollment ID | O20240711002470 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285321158 | NPI | - | NPPES |
| Provider Name | Christopher S Linskey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790775757 PECOS PAC ID: 6800070830 Enrollment ID: I20240711002923 |
| Provider Name | Annette A Lusko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487918181 PECOS PAC ID: 9335394600 Enrollment ID: I20240806004504 |
| Provider Name | Eric S Lott |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164809091 PECOS PAC ID: 7618226473 Enrollment ID: I20240815002167 |
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