| Cabaluna Medical Pllc | |
|
2001 Excellence Way Ste 200 Prescott AZ 86301-8410 | |
| (928) 460-7260 | |
| Not Available |
| Full Name | Cabaluna Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2001 Excellence Way Ste 200, Prescott, Arizona |
| Authorized Official Name and Position | Neal Herbert Segovia Cabaluna (PHYSICIAN/OWNER) |
| Authorized Official Contact | 6193859691 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cabaluna Medical Pllc 2001 Excellence Way Ste 200 Prescott AZ 86301-8410 Ph: (928) 460-7260 | Cabaluna Medical Pllc 2001 Excellence Way Ste 200 Prescott AZ 86301-8410 Ph: (928) 460-7260 |
| NPI Number | 1396363594 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 06/21/2021 |
| Medicare PECOS PAC ID | 7810315249 |
|---|---|
| Medicare Enrollment ID | O20200916001326 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396363594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Neal H Cabaluna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871857359 PECOS PAC ID: 8224251590 Enrollment ID: I20151103001896 |
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