| Comprehensive Medical Care Pc | |
|
17450 S La Canada Dr Sahuarita AZ 85629-9718 | |
| (520) 393-0898 | |
| (520) 393-1750 |
| Full Name | Comprehensive Medical Care Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17450 S La Canada Dr, Sahuarita, Arizona |
| Authorized Official Name and Position | Yuri Talalaev (PRESIDENT) |
| Authorized Official Contact | 5203930898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Medical Care Pc 17450 S La Canada Dr Sahuarita AZ 85629-9718 Ph: (520) 393-0898 | Comprehensive Medical Care Pc 17450 S La Canada Dr Sahuarita AZ 85629-9718 Ph: (520) 393-0898 |
| NPI Number | 1265523765 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 03/20/2009 |
| Medicare PECOS PAC ID | 9436215761 |
|---|---|
| Medicare Enrollment ID | O20090311000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265523765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 28484 (Arizona) | Primary |
| Provider Name | Yuri A Talalaev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548372089 PECOS PAC ID: 0941101430 Enrollment ID: I20040116001044 |
| Provider Name | Carlton A Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881898120 PECOS PAC ID: 9133108780 Enrollment ID: I20040728000065 |
| Provider Name | Mihaela N Marin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659471837 PECOS PAC ID: 2769452747 Enrollment ID: I20040728000105 |
| Provider Name | Rebekah Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386987717 PECOS PAC ID: 7618111485 Enrollment ID: I20130917000408 |
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