Deseret Family Medicine At Greenfield Plc | |
7165 E University Dr Ste 141 Mesa AZ 85207-6411 | |
(480) 981-3000 | |
(480) 924-6339 |
Full Name | Deseret Family Medicine At Greenfield Plc |
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Speciality | Clinic/Center |
Location | 7165 E University Dr Ste 141, Mesa, Arizona |
Authorized Official Name and Position | Hugo Fazz (OWNER) |
Authorized Official Contact | 4809813000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Deseret Family Medicine At Greenfield Plc 7165 E University Dr Ste 141 Mesa AZ 85207-6411 Ph: (480) 981-3000 | Deseret Family Medicine At Greenfield Plc 7165 E University Dr Ste 141 Mesa AZ 85207-6411 Ph: (480) 981-3000 |
NPI Number | 1619620200 |
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Provider Enumeration Date | 02/02/2022 |
Last Update Date | 03/28/2024 |
Medicare PECOS PAC ID | 5991190290 |
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Medicare Enrollment ID | O20220324000291 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619620200 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Hugo Fazz |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588697031 PECOS PAC ID: 4486669363 Enrollment ID: I20060214000319 |
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