| Banner -- University Medical Center Phoenix Campus Family Medicine | |
|
1300 N 12th St Ste 605 Phoenix AZ 85006-2848 | |
| (602) 239-4567 | |
| (602) 239-2067 |
| Full Name | Banner -- University Medical Center Phoenix Campus Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1300 N 12th St, Phoenix, Arizona |
| Authorized Official Name and Position | Dennis E Dahlen (SR VICE PRESIDENT - FINANCE) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner -- University Medical Center Phoenix Campus Family Medicine 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Banner -- University Medical Center Phoenix Campus Family Medicine 1300 N 12th St Ste 605 Phoenix AZ 85006-2848 Ph: (602) 239-4567 |
| NPI Number | 1124073747 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 02/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124073747 | NPI | - | NPPES |
| 767618 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
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