| Ama Family Practice Pllc | |
|
6600 N Oracle Rd Ste 100 Tucson AZ 85704-5676 | |
| (520) 575-9007 | |
| (520) 575-0041 |
| Full Name | Ama Family Practice Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6600 N Oracle Rd Ste 100, Tucson, Arizona |
| Authorized Official Name and Position | Mohamed Coulibaly Dit Fall (OWNER) |
| Authorized Official Contact | 5202567028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ama Family Practice Pllc 6600 N Oracle Rd Ste 100 Tucson AZ 85704-5676 Ph: (520) 575-9007 | Ama Family Practice Pllc 6600 N Oracle Rd Ste 100 Tucson AZ 85704-5676 Ph: (520) 575-9007 |
| NPI Number | 1346839214 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 04/25/2023 |
| Medicare PECOS PAC ID | 8527458397 |
|---|---|
| Medicare Enrollment ID | O20230530000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346839214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Mohamed Coulibaly Dit Fall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255745840 PECOS PAC ID: 1456676949 Enrollment ID: I20150203002277 |
| Provider Name | Aimee K Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922631209 PECOS PAC ID: 3173940046 Enrollment ID: I20200825000430 |
| Provider Name | Naomi Arlene Duffett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235808205 PECOS PAC ID: 4183016736 Enrollment ID: I20220112000497 |
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