| Family Medicine & Weight Management Specialty, P.l.l.c. | |
|
2222 S Avenue A Yuma AZ 85364-8315 | |
| (928) 276-4381 | |
| Not Available |
| Full Name | Family Medicine & Weight Management Specialty, P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2222 S Avenue A, Yuma, Arizona |
| Authorized Official Name and Position | Kirsten A Sorensen (ADMINISTRATOR) |
| Authorized Official Contact | 6024311152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine & Weight Management Specialty, P.l.l.c. 2189 S. Avenue A, Suite A Yuma AZ 85364-8880 Ph: (928) 276-4381 | Family Medicine & Weight Management Specialty, P.l.l.c. 2222 S Avenue A Yuma AZ 85364-8315 Ph: (928) 276-4381 |
| NPI Number | 1962736348 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962736348 | NPI | - | NPPES |
| Z178594 | Other | AZ | MEDICARE PTAN FOR STATEOF ARIZONA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4158 (Arizona) | Primary |
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