Elite Infusions Llc | |
10252 W Villa Chula Peoria AZ 85383 | |
(623) 210-5041 | |
Not Available |
Full Name | Elite Infusions Llc |
---|---|
Speciality | Internal Medicine |
Location | 10252 W Villa Chula, Peoria, Arizona |
Authorized Official Name and Position | Kirsten Perkins (OWNER) |
Authorized Official Contact | 6232105041 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Elite Infusions Llc 10252 W Villa Chula Peoria AZ 85383-2748 Ph: (623) 210-5041 | Elite Infusions Llc 10252 W Villa Chula Peoria AZ 85383 Ph: (623) 210-5041 |
NPI Number | 1013417617 |
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Provider Enumeration Date | 02/20/2018 |
Last Update Date | 06/14/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013417617 | NPI | - | NPPES |
26219 | Other | AZ | ARIZONA MEDICAL LICENSE |
1831145796 | Other | AZ | PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 26219 (Arizona) | Primary |
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