Synovation Integrated Partners, Llc | |
3707 E Southern Ave Ste 2053 Mesa AZ 85206-6217 | |
(602) 888-1447 | |
(480) 672-2828 |
Full Name | Synovation Integrated Partners, Llc |
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Speciality | Clinic/Center |
Location | 3707 E Southern Ave Ste 2053, Mesa, Arizona |
Authorized Official Name and Position | Carese Lewis (MANAGING MEMBER) |
Authorized Official Contact | 6028881447 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Synovation Integrated Partners, Llc Po Box 2522 Chandler AZ 85244-2522 Ph: (602) 888-1447 | Synovation Integrated Partners, Llc 3707 E Southern Ave Ste 2053 Mesa AZ 85206-6217 Ph: (602) 888-1447 |
NPI Number | 1013565548 |
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Provider Enumeration Date | 08/28/2019 |
Last Update Date | 09/19/2023 |
Certification Date | 09/19/2023 |
Medicare PECOS PAC ID | 6103254347 |
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Medicare Enrollment ID | O20200321000181 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013565548 | NPI | - | NPPES |
Provider Name | Preston Strebeck |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619584406 PECOS PAC ID: 8820400484 Enrollment ID: I20201224000039 |
Provider Name | Shavaun J Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225624729 PECOS PAC ID: 7113320177 Enrollment ID: I20210728001658 |
Provider Name | Simisola Asekun |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386380608 PECOS PAC ID: 9032587738 Enrollment ID: I20230512001752 |
Provider Name | April Aranda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346023090 PECOS PAC ID: 4486000270 Enrollment ID: I20231031001590 |
Provider Name | Laura Dawn Porter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639877640 PECOS PAC ID: 2769839265 Enrollment ID: I20231106000506 |
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