Rose Medical Pavilion Pllc | |
22044 N 44th St Ste 200 Phoenix AZ 85050-6104 | |
(602) 341-5035 | |
Not Available |
Full Name | Rose Medical Pavilion Pllc |
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Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 22044 N 44th St Ste 200, Phoenix, Arizona |
Authorized Official Name and Position | Tamara Zach (PHYSICIAN/OWNER) |
Authorized Official Contact | 6023415035 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Rose Medical Pavilion Pllc 22044 N 44th St Ste 200 Phoenix AZ 85050-6104 Ph: (602) 341-5035 | Rose Medical Pavilion Pllc 22044 N 44th St Ste 200 Phoenix AZ 85050-6104 Ph: (602) 341-5035 |
NPI Number | 1154101152 |
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Provider Enumeration Date | 10/05/2023 |
Last Update Date | 10/05/2023 |
Certification Date | 10/05/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154101152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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