| Antonio V. Yu Jr., M.d.,p.c. | |
|
13945 W Grand Ave Suite A 102 Surprise AZ 85374-2437 | |
| (623) 556-2252 | |
| (623) 556-2262 |
| Full Name | Antonio V. Yu Jr., M.d.,p.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 13945 W Grand Ave, Surprise, Arizona |
| Authorized Official Name and Position | Antonio V Yu (PRESDENT) |
| Authorized Official Contact | 6235562252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antonio V. Yu Jr., M.d.,p.c. 13945 W Grand Ave Suite A 102 Surprise AZ 85374-2437 Ph: (623) 556-2252 | Antonio V. Yu Jr., M.d.,p.c. 13945 W Grand Ave Suite A 102 Surprise AZ 85374-2437 Ph: (623) 556-2252 |
| NPI Number | 1326068255 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7911981550 |
|---|---|
| Medicare Enrollment ID | O20040614000452 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326068255 | NPI | - | NPPES |
| 1770564171 | Other | AZ | NPI |
| 594805 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23004 (Arizona) | Primary |
| Provider Name | Antonio V Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770564171 PECOS PAC ID: 1951306703 Enrollment ID: I20100831000656 |
| Provider Name | Katrina M Spradling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902192784 PECOS PAC ID: 8921278995 Enrollment ID: I20110830000461 |
| Provider Name | Guen Cecilia Tawagon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609415744 PECOS PAC ID: 5294161550 Enrollment ID: I20200204002443 |
| Provider Name | Cyril Theresa Esguerra Gampol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265158786 PECOS PAC ID: 2062889678 Enrollment ID: I20221110000141 |
| Provider Name | Sheryl Mlapaz Chua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679263164 PECOS PAC ID: 7416314257 Enrollment ID: I20230608003378 |
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