Adult Internal Medicine Of Yuma Inc | |
2120 W 24th St #a Yuma AZ 85364 | |
(928) 782-6015 | |
(928) 782-1936 |
Full Name | Adult Internal Medicine Of Yuma Inc |
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Speciality | Internal Medicine |
Location | 2120 W 24th St, Yuma, Arizona |
Authorized Official Name and Position | Manith Mann (PRESIDENT) |
Authorized Official Contact | 9287826015 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Adult Internal Medicine Of Yuma Inc 2120 W 24th St #a Yuma AZ 85364 Ph: (928) 782-6015 | Adult Internal Medicine Of Yuma Inc 2120 W 24th St #a Yuma AZ 85364 Ph: (928) 782-6015 |
NPI Number | 1205949062 |
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Provider Enumeration Date | 08/16/2006 |
Last Update Date | 05/18/2022 |
Medicare PECOS PAC ID | 1658330840 |
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Medicare Enrollment ID | O20041004001100 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205949062 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 32732 (Arizona) | Primary |
Provider Name | Manith S Mann |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1952507709 PECOS PAC ID: 4284625765 Enrollment ID: I20040522000130 |
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