| Centerwell Senior Primary Care-west Grand | |
|
13945 W Grand Ave Ste 102 Surprise AZ 85374-2437 | |
| (024) 286-9156 | |
| (602) 429-8531 |
| Full Name | Centerwell Senior Primary Care-west Grand |
|---|---|
| Speciality | Internal Medicine |
| Location | 13945 W Grand Ave Ste 102, Surprise, Arizona |
| Authorized Official Name and Position | Brienne Jansen Loy (OWNER) |
| Authorized Official Contact | 8326674150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-west Grand 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care-west Grand 13945 W Grand Ave Ste 102 Surprise AZ 85374-2437 Ph: (024) 286-9156 |
| NPI Number | 1396501201 |
|---|---|
| Provider Enumeration Date | 02/27/2024 |
| Last Update Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396501201 | 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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