Ccn Arizona Llc | |
14780 W Mountain View Blvd Ste 110 Surprise AZ 85374-7280 | |
(623) 374-7774 | |
Not Available |
Full Name | Ccn Arizona Llc |
---|---|
Speciality | Family Medicine |
Location | 14780 W Mountain View Blvd Ste 110, Surprise, Arizona |
Authorized Official Name and Position | Linh C Nguyen (CEO) |
Authorized Official Contact | 6233747774 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ccn Arizona Llc 14780 W Mountain View Blvd Ste 110 Surprise AZ 85374-7280 Ph: (623) 374-7774 | Ccn Arizona Llc 14780 W Mountain View Blvd Ste 110 Surprise AZ 85374-7280 Ph: (623) 374-7774 |
NPI Number | 1992282230 |
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Provider Enumeration Date | 07/19/2018 |
Last Update Date | 09/27/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992282230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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