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601 W Riverside Dr Ste 3 Parker AZ 85344-5119 | |
(928) 669-5550 | |
(928) 669-0061 |
Full Name | |
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Speciality | Clinic/center |
Location | 601 W Riverside Dr Ste 3, Parker, Arizona |
Authorized Official Name and Position | Kevin Brown (CEO) |
Authorized Official Contact | 9286697300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1200 W Mohave Rd Parker AZ 85344-6349 Ph: (928) 669-9201 | 601 W Riverside Dr Ste 3 Parker AZ 85344-5119 Ph: (928) 669-5550 |
NPI Number | 1083639983 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 06/06/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083639983 | NPI | - | NPPES |
CG7880 | Other | AZ | MEDICAR RR |
480046 | Medicaid | AZ | |
944148 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | OTC5490 (Arizona) | Primary |
Kevin S. Klopfenstein M.d. P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 S California Ave, Parker, AZ 85344 Phone: 928-669-6151 Fax: 928-669-8403 | |
La Paz County Health Department Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1112 S Joshua Ave, Suite 206, Parker, AZ 85344 Phone: 928-669-1100 | |
Parker Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1713 S Kofa Ave, Suite A, Parker, AZ 85344 Phone: 928-669-9700 Fax: 928-669-7104 |