| |
20470 N Lake Pleasant Rd Ste. 110 Peoria AZ 85382-9708 | |
(623) 266-4699 | |
(623) 825-5630 |
Full Name | |
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Speciality | Family Medicine |
Location | 20470 N Lake Pleasant Rd, Peoria, Arizona |
Authorized Official Name and Position | Savas Petrides (SVP/CEO) |
Authorized Official Contact | 4806964020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2500 W Utopia Rd Phoenix AZ 85027-4171 Ph: (480) 587-5314 | 20470 N Lake Pleasant Rd Ste. 110 Peoria AZ 85382-9708 Ph: (623) 266-4699 |
NPI Number | 1285933820 |
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Provider Enumeration Date | 03/22/2011 |
Last Update Date | 10/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285933820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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