| E Pell Wadleigh Dds Pc | |
|
436 Vista Ave Page AZ 86040-0002 | |
| (928) 645-2505 | |
| (928) 645-6820 |
| Full Name | E Pell Wadleigh Dds Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 436 Vista Ave, Page, Arizona |
| Authorized Official Name and Position | Eric Pell Wadleigh (OWNER) |
| Authorized Official Contact | 9286452505 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E Pell Wadleigh Dds Pc Po Box 2 436 Vista Ave Page AZ 86040-0002 Ph: (928) 645-2505 | E Pell Wadleigh Dds Pc 436 Vista Ave Page AZ 86040-0002 Ph: (928) 645-2505 |
| NPI Number | 1891817615 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891817615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2639 (Arizona) | Primary |
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