| Donald E Paxton Md Llc | |
|
202 E Earll Dr Ste 450 Phoenix AZ 85012-2634 | |
| (602) 241-9500 | |
| (602) 241-9552 |
| Full Name | Donald E Paxton Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 202 E Earll Dr, Phoenix, Arizona |
| Authorized Official Name and Position | Donald E. Paxton (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6022419500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donald E Paxton Md Llc 202 E Earll Dr Ste 450 Phoenix AZ 85012-2675 Ph: (602) 241-9500 | Donald E Paxton Md Llc 202 E Earll Dr Ste 450 Phoenix AZ 85012-2634 Ph: (602) 241-9500 |
| NPI Number | 1952348955 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 10/11/2019 |
| Medicare PECOS PAC ID | 3971510090 |
|---|---|
| Medicare Enrollment ID | O20060315000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952348955 | NPI | - | NPPES |
| PFP13PAXTD01 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11356 (Arizona) | Primary |
| Provider Name | Donald E Paxton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952343824 PECOS PAC ID: 3678598968 Enrollment ID: I20051005001082 |
| Provider Name | Juliana C Mandat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295419646 PECOS PAC ID: 6507213816 Enrollment ID: I20231108001735 |
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