Bethany Medical L.l.c | |
5832 W. San Miguel Ave #6 Glendal AZ 85301 | |
(623) 939-6224 | |
(623) 939-6224 |
Full Name | Bethany Medical L.l.c |
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Speciality | Family Medicine |
Location | 5832 W. San Miguel Ave #6, Glendal, Arizona |
Authorized Official Name and Position | Valentine E Okon (ADMINISTRATOR) |
Authorized Official Contact | 6238479800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Bethany Medical L.l.c 5832 W. San Miguel Ave #6 Glendal AZ 85301 Ph: (623) 939-6224 | Bethany Medical L.l.c 5832 W. San Miguel Ave #6 Glendal AZ 85301 Ph: (623) 939-6224 |
NPI Number | 1053433912 |
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Provider Enumeration Date | 04/04/2007 |
Last Update Date | 07/31/2008 |
Identifier | Type | State | Issuer |
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1053433912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 15873 (Arizona) | Primary |