| Clinical Associates Of Arizona Llc | |
|
5700 W Olive Ave Ste 102 Glendale AZ 85302-3147 | |
| (480) 438-5529 | |
| Not Available |
| Full Name | Clinical Associates Of Arizona Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5700 W Olive Ave Ste 102, Glendale, Arizona |
| Authorized Official Name and Position | Katrina Spradling (CO-OWNER) |
| Authorized Official Contact | 6232080589 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Associates Of Arizona Llc Po Box 417 Peoria AZ 85380-0417 Ph: (480) 438-5529 | Clinical Associates Of Arizona Llc 5700 W Olive Ave Ste 102 Glendale AZ 85302-3147 Ph: (480) 438-5529 |
| NPI Number | 1265037485 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/03/2020 |
| Medicare PECOS PAC ID | 3678989688 |
|---|---|
| Medicare Enrollment ID | O20210316002576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265037485 | NPI | - | NPPES |
| Provider Name | Philip Vitelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841395662 PECOS PAC ID: 4183604739 Enrollment ID: I20090914000689 |
| Provider Name | Katrina M Spradling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902192784 PECOS PAC ID: 8921278995 Enrollment ID: I20110830000461 |
| Provider Name | Patricia White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891853321 PECOS PAC ID: 6800069717 Enrollment ID: I20111109000019 |
| Provider Name | Alodia Banuelos Domingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043635162 PECOS PAC ID: 1951627975 Enrollment ID: I20150310000734 |
| Provider Name | Deborah A Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205911310 PECOS PAC ID: 8426220278 Enrollment ID: I20211026001110 |
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