Christine Tymczyna Do Pllc | |
4450 S Rural Rd Ste C230 Tempe AZ 85282-7020 | |
(602) 237-5088 | |
(602) 900-9967 |
Full Name | Christine Tymczyna Do Pllc |
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Speciality | Family Medicine |
Location | 4450 S Rural Rd Ste C230, Tempe, Arizona |
Authorized Official Name and Position | Christine Tymczyna (PRESIDENT) |
Authorized Official Contact | 6022375088 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Christine Tymczyna Do Pllc 4450 S Rural Rd Ste C230 Tempe AZ 85282-7020 Ph: (602) 237-5088 | Christine Tymczyna Do Pllc 4450 S Rural Rd Ste C230 Tempe AZ 85282-7020 Ph: (602) 237-5088 |
NPI Number | 1104253004 |
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Provider Enumeration Date | 10/09/2013 |
Last Update Date | 11/25/2017 |
Medicare PECOS PAC ID | 3678702792 |
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Medicare Enrollment ID | O20140212000250 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104253004 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0055207 (Arizona) | Primary |
Provider Name | Christine Tymczyna |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104139591 PECOS PAC ID: 5991821241 Enrollment ID: I20100924000198 |
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