| |
13794 W Waddell Rd Suite 207 Surprise AZ 85379-8499 | |
(623) 214-8755 | |
(623) 214-8664 |
Full Name | |
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Speciality | Clinic/center |
Location | 13794 W Waddell Rd, Surprise, Arizona |
Authorized Official Name and Position | James H. Burrell (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 6022715426 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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25500 N Norterra Dr Phoenix AZ 85085-8200 Ph: (602) 328-8400 | 13794 W Waddell Rd Suite 207 Surprise AZ 85379-8499 Ph: (623) 214-8755 |
NPI Number | 1750535506 |
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Provider Enumeration Date | 11/06/2008 |
Last Update Date | 01/09/2012 |
Identifier | Type | State | Issuer |
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1750535506 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | OTC4577 (Arizona) | Primary |
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Good Health Medical, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16324 W Pat Tillman Blvd #101, Surprise, AZ 85387 Phone: 480-677-8282 Fax: 888-316-1686 | |
Nha T Lien Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14674 W Mountain View Blvd, Ste 200, Surprise, AZ 85374 Phone: 909-239-4700 | |
Carefirst Wellness Associates Of Az Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12361 W Bola Dr Ste 109, Surprise, AZ 85378 Phone: 623-227-1000 |