Mark Winograd, M.d., P.c. | |
5757 W Thunderbird Rd Suite E151 Glendale AZ 85306-4685 | |
(602) 843-3811 | |
(602) 843-0044 |
Full Name | Mark Winograd, M.d., P.c. |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 5757 W Thunderbird Rd, Glendale, Arizona |
Authorized Official Name and Position | Mark Winograd (PRESIDENT) |
Authorized Official Contact | 6028433811 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark Winograd, M.d., P.c. 5757 W Thunderbird Rd Suite E151 Glendale AZ 85306-4641 Ph: (602) 843-3811 | Mark Winograd, M.d., P.c. 5757 W Thunderbird Rd Suite E151 Glendale AZ 85306-4685 Ph: (602) 843-3811 |
NPI Number | 1306029566 |
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Provider Enumeration Date | 12/11/2007 |
Last Update Date | 01/04/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306029566 | NPI | - | NPPES |
206400-01 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 13992 (Arizona) | Primary |
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