Deborah L Dykema Do Pc | |
20045 N 19th Ave Bldg 9-151 Phoenix AZ 85027-4252 | |
(602) 978-1555 | |
Not Available |
Full Name | Deborah L Dykema Do Pc |
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Speciality | Clinic/center - Primary Care |
Location | 20045 N 19th Ave Bldg 9-151, Phoenix, Arizona |
Authorized Official Name and Position | Deborah L Dykema (PHYSICIAN OWNER) |
Authorized Official Contact | 6029781555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deborah L Dykema Do Pc 20045 N 19th Ave Bldg 9-151 Phoenix AZ 85027-4252 Ph: (602) 978-1555 | Deborah L Dykema Do Pc 20045 N 19th Ave Bldg 9-151 Phoenix AZ 85027-4252 Ph: (602) 978-1555 |
NPI Number | 1003181314 |
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Provider Enumeration Date | 03/20/2012 |
Last Update Date | 08/25/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003181314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | DO1865 (Arizona) | Primary |
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