| Advanced Family Medicine | |
|
604 W Warner Rd Suite B-7 Chandler AZ 85225-2906 | |
| (480) 456-4500 | |
| (480) 456-4503 |
| Full Name | Advanced Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 604 W Warner Rd, Chandler, Arizona |
| Authorized Official Name and Position | Jihad Halloum (PRESIDENT) |
| Authorized Official Contact | 4804564500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Family Medicine 604 W Warner Rd Suite B-7 Chandler AZ 85225-2906 Ph: (480) 456-4500 | Advanced Family Medicine 604 W Warner Rd Suite B-7 Chandler AZ 85225-2906 Ph: (480) 456-4500 |
| NPI Number | 1417005026 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 05/01/2008 |
| Medicare PECOS PAC ID | 1759483613 |
|---|---|
| Medicare Enrollment ID | O20070223000004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417005026 | NPI | - | NPPES |
| 169772 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35679 (Arizona) | Primary |
| Provider Name | Jihad Halloum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306862479 PECOS PAC ID: 2062418916 Enrollment ID: I20061017000101 |
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