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1033 N Arizona Ave Chandler AZ 85225-6693 | |
| (480) 855-8829 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1033 N Arizona Ave, Chandler, Arizona |
| Authorized Official Name and Position | Roman Carrasco (CEO) |
| Authorized Official Contact | 4804047158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1345 E Main St Ste 100 Mesa AZ 85203-8950 Ph: (480) 264-3711 | 1033 N Arizona Ave Chandler AZ 85225-6693 Ph: (480) 855-8829 |
| NPI Number | 1316626385 |
|---|---|
| Provider Enumeration Date | 07/17/2023 |
| Last Update Date | 01/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316626385 | NPI | - | NPPES |
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