| Fountain Hills Pediatrics And Internal Medicine Plc | |
|
13620 N Saguaro Blvd Ste 50 Fountain Hills AZ 85268-8551 | |
| (480) 837-6800 | |
| (480) 837-6804 |
| Full Name | Fountain Hills Pediatrics And Internal Medicine Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 13620 N Saguaro Blvd, Fountain Hills, Arizona |
| Authorized Official Name and Position | Jyoti Patel (OWNER, MEMBER) |
| Authorized Official Contact | 4808376800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fountain Hills Pediatrics And Internal Medicine Plc Po Box 20019 Fountain Hills AZ 85269-0019 Ph: (480) 837-6800 | Fountain Hills Pediatrics And Internal Medicine Plc 13620 N Saguaro Blvd Ste 50 Fountain Hills AZ 85268-8551 Ph: (480) 837-6800 |
| NPI Number | 1326196858 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326196858 | NPI | - | NPPES |
| 825995 | Medicaid | AZ | |
| AZ0740661 | Other | AZ | BCBSAZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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Desert Fountain Medical Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17100 E Shea Blvd Ste 320, Fountain Hills, AZ 85268 Phone: 480-816-8300 Fax: 480-816-4016 | |
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Fountain Hills Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16857 E Saguaro Blvd, Fountain Hills, AZ 85268 Phone: 480-626-9578 Fax: 920-214-1167 |