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 |
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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 |
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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 |
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Provider Enumeration Date | 09/28/2006 |
Last Update Date | 03/20/2009 |
Medicare PECOS PAC ID | 9436215761 |
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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 |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548372089 PECOS PAC ID: 0941101430 Enrollment ID: I20040116001044 |
Provider Name | Carlton A Baker |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881898120 PECOS PAC ID: 9133108780 Enrollment ID: I20040728000065 |
Provider Name | Mihaela N Marin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1659471837 PECOS PAC ID: 2769452747 Enrollment ID: I20040728000105 |
Provider Name | Rebekah Lewis |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386987717 PECOS PAC ID: 7618111485 Enrollment ID: I20130917000408 |
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