| Foothills Family Care Plc | |
|
4530 E Ray Rd Ste 150 Phoenix AZ 85044-6097 | |
| (480) 785-4775 | |
| Not Available |
| Full Name | Foothills Family Care Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 4530 E Ray Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Rebecca L Goldman (MEMBER) |
| Authorized Official Contact | 4807854775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Family Care Plc 4530 E Ray Rd Ste 150 Phoenix AZ 85044-6097 Ph: (480) 785-4775 | Foothills Family Care Plc 4530 E Ray Rd Ste 150 Phoenix AZ 85044-6097 Ph: (480) 785-4775 |
| NPI Number | 1457591026 |
|---|---|
| Provider Enumeration Date | 02/23/2009 |
| Last Update Date | 10/15/2012 |
| Medicare PECOS PAC ID | 3274683495 |
|---|---|
| Medicare Enrollment ID | O20090610000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457591026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Rebecca Lee Goldman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588641302 PECOS PAC ID: 0941382998 Enrollment ID: I20090610000288 |
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