| Dcoa Physician Associates Pa | |
|
Nec Litchfield & Mcdowell Road Building A Suite 104 Goodyear AZ 85338 | |
| (832) 237-3500 | |
| (832) 237-0200 |
| Full Name | Dcoa Physician Associates Pa |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | Nec Litchfield & Mcdowell Road, Goodyear, Arizona |
| Authorized Official Name and Position | Tina Johnson (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7138405245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dcoa Physician Associates Pa 3 Riverway Suite 825 Houston TX 77056-1919 Ph: (713) 840-5245 | Dcoa Physician Associates Pa Nec Litchfield & Mcdowell Road Building A Suite 104 Goodyear AZ 85338 Ph: (832) 237-3500 |
| NPI Number | 1790956464 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790956464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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