| Arizona Clinic Of Gastroenterology Pc | |
|
13934 N 59th Ave Suite 160 Glendale AZ 85306-4167 | |
| (877) 283-4714 | |
| (623) 444-5495 |
| Full Name | Arizona Clinic Of Gastroenterology Pc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 13934 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Sheila R Peirson (BILLING MANAGER) |
| Authorized Official Contact | 8772834714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Clinic Of Gastroenterology Pc Po Box 5819 Peoria AZ 85385-5819 Ph: (877) 283-4714 | Arizona Clinic Of Gastroenterology Pc 13934 N 59th Ave Suite 160 Glendale AZ 85306-4167 Ph: (877) 283-4714 |
| NPI Number | 1356570378 |
|---|---|
| Provider Enumeration Date | 07/12/2009 |
| Last Update Date | 04/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356570378 | NPI | - | NPPES |
| 469524 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 31649 (Arizona) | Primary |
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