Doctor On Call Corp | |
11201 N Tatum Blvd Ste 300 Phoenix AZ 85028-6039 | |
(480) 900-3556 | |
Not Available |
Full Name | Doctor On Call Corp |
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Speciality | General Practice |
Location | 11201 N Tatum Blvd Ste 300, Phoenix, Arizona |
Authorized Official Name and Position | Jessica Moody (OWNER) |
Authorized Official Contact | 4809003556 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Doctor On Call Corp 11201 N Tatum Blvd Ste 300 Phoenix AZ 85028-6039 Ph: (480) 900-3556 | Doctor On Call Corp 11201 N Tatum Blvd Ste 300 Phoenix AZ 85028-6039 Ph: (480) 900-3556 |
NPI Number | 1194420174 |
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Provider Enumeration Date | 03/31/2023 |
Last Update Date | 03/31/2023 |
Medicare PECOS PAC ID | 9032563788 |
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Medicare Enrollment ID | O20230928001943 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194420174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Christian J Moher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497731582 PECOS PAC ID: 2961397161 Enrollment ID: I20040217000728 |
Provider Name | Greg Buot Alaestante |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710247887 PECOS PAC ID: 1254657133 Enrollment ID: I20150630002488 |
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