| Geropsychmd Llc | |
|
9618 N 35th Pl Phoenix AZ 85028-4934 | |
| (602) 930-2248 | |
| (623) 399-9958 |
| Full Name | Geropsychmd Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 9618 N 35th Pl, Phoenix, Arizona |
| Authorized Official Name and Position | Amy J Frazier (PHYSICIAN/SOLE MEMBER) |
| Authorized Official Contact | 6029302248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geropsychmd Llc 9618 N 35th Pl Phoenix AZ 85028-4934 Ph: (602) 930-2248 | Geropsychmd Llc 9618 N 35th Pl Phoenix AZ 85028-4934 Ph: (602) 930-2248 |
| NPI Number | 1467060343 |
|---|---|
| Provider Enumeration Date | 07/16/2020 |
| Last Update Date | 07/16/2020 |
| Certification Date | 07/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467060343 | NPI | - | NPPES |
| 28771 | Other | AZ | 28771 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
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