Alternative Medical Care Of Arizona | |
2525 W Greenway Rd Ste 210 Phoenix AZ 85023-4295 | |
(602) 993-0200 | |
(602) 993-0207 |
Full Name | Alternative Medical Care Of Arizona |
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Speciality | Family Medicine |
Location | 2525 W Greenway Rd Ste 210, Phoenix, Arizona |
Authorized Official Name and Position | Goeffrey Peter Radoff (PRESIDENT) |
Authorized Official Contact | 6029930200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alternative Medical Care Of Arizona 2525 W Greenway Rd Suite 210 Phoenix AZ 85023-4152 Ph: (623) 993-0200 | Alternative Medical Care Of Arizona 2525 W Greenway Rd Ste 210 Phoenix AZ 85023-4295 Ph: (602) 993-0200 |
NPI Number | 1750566444 |
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Provider Enumeration Date | 01/01/2008 |
Last Update Date | 05/06/2013 |
Medicare PECOS PAC ID | 5991885766 |
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Medicare Enrollment ID | O20080107000155 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750566444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 9881 (Arizona) | Primary |
Provider Name | Geoffrey P Radoff |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003988353 PECOS PAC ID: 4587689450 Enrollment ID: I20051010000818 |
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