Arizona Ally Medical Pllc | |
4326 E Saint John Rd Phoenix AZ 85032-2285 | |
(801) 822-4516 | |
Not Available |
Full Name | Arizona Ally Medical Pllc |
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Speciality | Clinic/Center |
Location | 4326 E Saint John Rd, Phoenix, Arizona |
Authorized Official Name and Position | Melissa Zuber (OWNER) |
Authorized Official Contact | 4803787607 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Arizona Ally Medical Pllc 1801 E Camelback Rd Ste 102 Phoenix AZ 85016-4165 Ph: (480) 378-6707 | Arizona Ally Medical Pllc 4326 E Saint John Rd Phoenix AZ 85032-2285 Ph: (801) 822-4516 |
NPI Number | 1003695206 |
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Provider Enumeration Date | 09/26/2023 |
Last Update Date | 09/26/2023 |
Medicare PECOS PAC ID | 1355798265 |
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Medicare Enrollment ID | O20231115001463 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003695206 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Melissa Zuber |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174264295 PECOS PAC ID: 7719365261 Enrollment ID: I20220613000390 |
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