Ahwatukee Health And Recovery | |
16515 S 40th St Ste 119 Phoenix AZ 85048-0559 | |
(480) 272-8450 | |
(480) 272-8307 |
Full Name | Ahwatukee Health And Recovery |
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Speciality | Internal Medicine |
Location | 16515 S 40th St Ste 119, Phoenix, Arizona |
Authorized Official Name and Position | Katherine Leigh Sarina (ADMINISTRATOR/OWNER) |
Authorized Official Contact | 4802728450 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ahwatukee Health And Recovery 16515 S 40th St Ste 119 Phoenix AZ 85048-0559 Ph: (480) 272-8450 | Ahwatukee Health And Recovery 16515 S 40th St Ste 119 Phoenix AZ 85048-0559 Ph: (480) 272-8450 |
NPI Number | 1053803676 |
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Provider Enumeration Date | 05/30/2018 |
Last Update Date | 02/22/2021 |
Medicare PECOS PAC ID | 8224383906 |
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Medicare Enrollment ID | O20180814001316 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053803676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Victoria L M M Sanchez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689611162 PECOS PAC ID: 1951340678 Enrollment ID: I20141008000141 |
Provider Name | Daniel M Pacheco |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346401759 PECOS PAC ID: 9830367739 Enrollment ID: I20170906001382 |
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