| Az Family Medicine & Sports Medicine | |
|
6130 E Brown Rd Mesa AZ 85205-4960 | |
| (480) 807-3554 | |
| (480) 807-8330 |
| Full Name | Az Family Medicine & Sports Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 6130 E Brown Rd, Mesa, Arizona |
| Authorized Official Name and Position | Leija M Counts (MANAGER) |
| Authorized Official Contact | 4808073554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Family Medicine & Sports Medicine 6130 E Brown Rd Mesa AZ 85205-4960 Ph: (480) 807-3554 | Az Family Medicine & Sports Medicine 6130 E Brown Rd Mesa AZ 85205-4960 Ph: (480) 807-3554 |
| NPI Number | 1275651507 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 09/24/2007 |
| Medicare PECOS PAC ID | 3072530500 |
|---|---|
| Medicare Enrollment ID | O20051025000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275651507 | NPI | - | NPPES |
| Z106145 | Other | AZ | MEDICARE ID-PIN |
| Provider Name | Alexander J Onofrei |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154410157 PECOS PAC ID: 2163457318 Enrollment ID: I20050927001123 |
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