| Azmed4u | |
|
270 E Hunt Hwy Ste 16-189 San Tan Valley AZ 85143-6009 | |
| (480) 349-7169 | |
| (480) 546-3765 |
| Full Name | Azmed4u |
|---|---|
| Speciality | Family Medicine |
| Location | 270 E Hunt Hwy Ste 16-189, San Tan Valley, Arizona |
| Authorized Official Name and Position | Leann Vanduyn (OWNER) |
| Authorized Official Contact | 4803693171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Azmed4u 270 E Hunt Hwy Ste 16-189 San Tan Valley AZ 85143-6009 Ph: (480) 369-3171 | Azmed4u 270 E Hunt Hwy Ste 16-189 San Tan Valley AZ 85143-6009 Ph: (480) 349-7169 |
| NPI Number | 1457987679 |
|---|---|
| Provider Enumeration Date | 03/19/2020 |
| Last Update Date | 05/02/2023 |
| Medicare PECOS PAC ID | 8527426287 |
|---|---|
| Medicare Enrollment ID | O20230628001209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457987679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Leann Vanduyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235591546 PECOS PAC ID: 9537458237 Enrollment ID: I20160519001600 |
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