| Cactus Medical Center Llc | |
|
20255 N Lake Pleasant Rd Ste 102 Peoria AZ 85382-9747 | |
| (623) 376-8225 | |
| Not Available |
| Full Name | Cactus Medical Center Llc |
|---|---|
| Speciality | General Practice |
| Location | 20255 N Lake Pleasant Rd Ste 102, Peoria, Arizona |
| Authorized Official Name and Position | Brandon Kulp (OWNER) |
| Authorized Official Contact | 6233768225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cactus Medical Center Llc 20255 N Lake Pleasant Rd Ste 102 Peoria AZ 85382-9747 Ph: (623) 376-8225 | Cactus Medical Center Llc 20255 N Lake Pleasant Rd Ste 102 Peoria AZ 85382-9747 Ph: (623) 376-8225 |
| NPI Number | 1710487905 |
|---|---|
| Provider Enumeration Date | 02/14/2018 |
| Last Update Date | 02/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710487905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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