| East Valley Internal Medicine Pc | |
|
2081 W Frye Rd Ste 200 Chandler AZ 85224-6279 | |
| (480) 821-3821 | |
| (877) 799-4622 |
| Full Name | East Valley Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2081 W Frye Rd Ste 200, Chandler, Arizona |
| Authorized Official Name and Position | D'ann Meza (BILLING) |
| Authorized Official Contact | 4808213821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Valley Internal Medicine Pc 655 S Dobson Rd Ste A-201 Chandler AZ 85224-5667 Ph: (480) 821-3821 | East Valley Internal Medicine Pc 2081 W Frye Rd Ste 200 Chandler AZ 85224-6279 Ph: (480) 821-3821 |
| NPI Number | 1104907039 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 04/17/2019 |
| Medicare PECOS PAC ID | 6406843358 |
|---|---|
| Medicare Enrollment ID | O20040430000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104907039 | NPI | - | NPPES |
| F01456 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Robert E Halligan |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962516500 PECOS PAC ID: 3476542291 Enrollment ID: I20040507000754 |
| Provider Name | Mark S Walmer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629166053 PECOS PAC ID: 4486641347 Enrollment ID: I20101020000282 |
| Provider Name | Christina M Zimmerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982837563 PECOS PAC ID: 2769643022 Enrollment ID: I20120412000489 |
| Provider Name | April J Rosscup |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437773702 PECOS PAC ID: 9537589403 Enrollment ID: I20201014001370 |
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