| Discharge Md, Llc | |
|
12425 W Bell Rd Suite 200 Surprise AZ 85378-9002 | |
| (623) 374-7774 | |
| (623) 240-1110 |
| Full Name | Discharge Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12425 W Bell Rd, Surprise, Arizona |
| Authorized Official Name and Position | Linh C Nguyen (CEO) |
| Authorized Official Contact | 6234440101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Discharge Md, Llc 12425 W Bell Rd Suite 200 Surprise AZ 85378-9002 Ph: (623) 374-7774 | Discharge Md, Llc 12425 W Bell Rd Suite 200 Surprise AZ 85378-9002 Ph: (623) 374-7774 |
| NPI Number | 1962705616 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 12/17/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962705616 | NPI | - | NPPES |
| 113942 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35198 (Arizona) | Primary |
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