| Del Lago Family Medicine | |
|
20470 N Lake Pleasant Rd Suite 110 Peoria AZ 85382-9708 | |
| (623) 266-4699 | |
| (623) 825-5630 |
| Full Name | Del Lago Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 20470 N Lake Pleasant Rd, Peoria, Arizona |
| Authorized Official Name and Position | Aaron Bradley Boor (PRESIDENT/CEO) |
| Authorized Official Contact | 6232664699 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Del Lago Family Medicine 20470 N Lake Pleasant Rd Suite 110 Peoria AZ 85382-9708 Ph: (623) 266-4699 | Del Lago Family Medicine 20470 N Lake Pleasant Rd Suite 110 Peoria AZ 85382-9708 Ph: (623) 266-4699 |
| NPI Number | 1740242460 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740242460 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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