| Centerwell Senior Primary Care-peoria | |
|
10280 N 91st Ave Peoria AZ 85345-6461 | |
| (602) 842-9880 | |
| (877) 891-4091 |
| Full Name | Centerwell Senior Primary Care-peoria |
|---|---|
| Speciality | Internal Medicine |
| Location | 10280 N 91st Ave, Peoria, Arizona |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-peoria 4700 Millenia Blvd Ste 650 Orlando FL 32839-6013 Ph: (407) 447-7120 | Centerwell Senior Primary Care-peoria 10280 N 91st Ave Peoria AZ 85345-6461 Ph: (602) 842-9880 |
| NPI Number | 1003563347 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 10/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003563347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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