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1845 E Broadway Rd Ste 116 Tempe AZ 85282-1685 | |
(877) 634-7333 | |
(928) 634-8960 |
Full Name | |
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Speciality | Family Medicine |
Location | 1845 E Broadway Rd Ste 116, Tempe, Arizona |
Authorized Official Name and Position | Corinne Bailey (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9286342236 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8 E Cottonwood St Cottonwood AZ 86326-4382 Ph: (928) 634-2236 | 1845 E Broadway Rd Ste 116 Tempe AZ 85282-1685 Ph: (877) 634-7333 |
NPI Number | 1619598273 |
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Provider Enumeration Date | 05/05/2020 |
Last Update Date | 05/14/2021 |
Certification Date | 05/14/2021 |
Identifier | Type | State | Issuer |
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1619598273 | NPI | - | NPPES |
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