East Valley Infectious Diseases Llc | |
1800 E Florence Blvd Casa Grande AZ 85122-5303 | |
(520) 426-6300 | |
Not Available |
Full Name | East Valley Infectious Diseases Llc |
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Speciality | Internal Medicine |
Location | 1800 E Florence Blvd, Casa Grande, Arizona |
Authorized Official Name and Position | Marilynn Jeanne Peters (CREDEENTIALER) |
Authorized Official Contact | 4802967642 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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East Valley Infectious Diseases Llc Po Box 20610 Mesa AZ 85277-0610 Ph: (480) 985-1093 | East Valley Infectious Diseases Llc 1800 E Florence Blvd Casa Grande AZ 85122-5303 Ph: (520) 426-6300 |
NPI Number | 1164919056 |
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Provider Enumeration Date | 04/17/2018 |
Last Update Date | 04/17/2018 |
Medicare PECOS PAC ID | 0446514988 |
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Medicare Enrollment ID | O20180508002436 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164919056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 48645 (Arizona) | Primary |
Provider Name | Zubair A Qureshi |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1922234228 PECOS PAC ID: 0547484107 Enrollment ID: I20140623000335 |
Pinnacle Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1968 N Peart Rd, Suite 1, Casa Grande, AZ 85122 Phone: 520-836-6636 Fax: 520-836-6846 | |
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