| Geriatric Specialties Of Arizona Pc | |
|
6838 N 23rd Ave Phoenix AZ 85015-1056 | |
| (602) 864-8800 | |
| (602) 864-1448 |
| Full Name | Geriatric Specialties Of Arizona Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6838 N 23rd Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Dianne Edwards (OFFICE MANAGER) |
| Authorized Official Contact | 6028648800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Specialties Of Arizona Pc 6838 N 23rd Ave Phoenix AZ 85015-1056 Ph: (602) 864-8800 | Geriatric Specialties Of Arizona Pc 6838 N 23rd Ave Phoenix AZ 85015-1056 Ph: (602) 864-8800 |
| NPI Number | 1225023377 |
|---|---|
| Provider Enumeration Date | 09/14/2005 |
| Last Update Date | 12/03/2014 |
| Medicare PECOS PAC ID | 9931189628 |
|---|---|
| Medicare Enrollment ID | O20040722001190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225023377 | NPI | - | NPPES |
| Provider Name | Lester A Epstein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760446769 PECOS PAC ID: 5092611962 Enrollment ID: I20031210001035 |
| Provider Name | Saul Amber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609921915 PECOS PAC ID: 6507763414 Enrollment ID: I20031219000276 |
| Provider Name | Kenneth Irwin Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174712806 PECOS PAC ID: 1052221603 Enrollment ID: I20040723000131 |
| Provider Name | Stanley L Combs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932200938 PECOS PAC ID: 9234101247 Enrollment ID: I20040810001182 |
| Provider Name | Kristin L Hanson |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1659379378 PECOS PAC ID: 6901849629 Enrollment ID: I20050603000584 |
| Provider Name | Geoffrey P Radoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003988353 PECOS PAC ID: 4587689450 Enrollment ID: I20051010000818 |
| Provider Name | Morton H Dubnow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659319309 PECOS PAC ID: 1658312889 Enrollment ID: I20080530000344 |
| Provider Name | Sami Nasrallah |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255528600 PECOS PAC ID: 3577630201 Enrollment ID: I20091023000423 |
| Provider Name | Kristen Lynn Stout |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053876722 PECOS PAC ID: 8325370489 Enrollment ID: I20191023001404 |
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