| Dba Minor Family Practice Group | |
|
8618 N 35th Ave 3 Phoenix AZ 85051-3800 | |
| (602) 249-0999 | |
| (602) 249-6020 |
| Full Name | Dba Minor Family Practice Group |
|---|---|
| Speciality | Family Medicine |
| Location | 8618 N 35th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Albert Lanchian (MANAGER) |
| Authorized Official Contact | 8183036737 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Minor Family Practice Group 8618 N 35th Ave 3 Phoenix AZ 85051-3800 Ph: (602) 249-0999 | Dba Minor Family Practice Group 8618 N 35th Ave 3 Phoenix AZ 85051-3800 Ph: (602) 249-0999 |
| NPI Number | 1891834552 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 04/07/2022 |
| Medicare PECOS PAC ID | 2860585163 |
|---|---|
| Medicare Enrollment ID | O20070831000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891834552 | NPI | - | NPPES |
| 237455 | Medicaid | AZ | |
| 271924 | Medicaid | AZ | |
| 620957 | Other | AZ | AETNA-LEROY KAREUS DO |
| Provider Name | William H Higgins |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1992722565 PECOS PAC ID: 3870516156 Enrollment ID: I20070906000027 |
| Provider Name | Carmen E Carrabis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023359189 PECOS PAC ID: 0446494082 Enrollment ID: I20130920000124 |
| Provider Name | Robert Stoffey |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1033153812 PECOS PAC ID: 7416851480 Enrollment ID: I20191015001341 |
| Provider Name | Brianna E Robertson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1043694607 PECOS PAC ID: 0143538017 Enrollment ID: I20220930001372 |
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