| Arrowhead Family & Sports Medicine | |
|
7717 W Deer Valley Rd Peoria AZ 85382-2102 | |
| (623) 561-6300 | |
| (623) 572-5400 |
| Full Name | Arrowhead Family & Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 7717 W Deer Valley Rd, Peoria, Arizona |
| Authorized Official Name and Position | Robert Philip Luberto (OWNER) |
| Authorized Official Contact | 6235616300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arrowhead Family & Sports Medicine 7717 W Deer Valley Rd Peoria AZ 85382-2102 Ph: (623) 561-6300 | Arrowhead Family & Sports Medicine 7717 W Deer Valley Rd Peoria AZ 85382-2102 Ph: (623) 561-6300 |
| NPI Number | 1144365420 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 12/17/2010 |
| Medicare PECOS PAC ID | 8426016015 |
|---|---|
| Medicare Enrollment ID | O20041229000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144365420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert P Luberto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760441174 PECOS PAC ID: 3173509163 Enrollment ID: I20040629001036 |
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