| Gi Arizona | |
|
600 West Highway 260 Suite #9 Payson AZ 85541 | |
| (602) 761-0707 | |
| (520) 231-9556 |
| Full Name | Gi Arizona |
|---|---|
| Speciality | Internal Medicine |
| Location | 600 West Highway 260, Payson, Arizona |
| Authorized Official Name and Position | Tracy Wadas (MANAGER) |
| Authorized Official Contact | 6027610707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gi Arizona 2820 N Pinal Ave Ste 12-467 Casa Grande AZ 85122-7918 Ph: (602) 761-0707 | Gi Arizona 600 West Highway 260 Suite #9 Payson AZ 85541 Ph: (602) 761-0707 |
| NPI Number | 1386419000 |
|---|---|
| Provider Enumeration Date | 11/22/2023 |
| Last Update Date | 05/13/2024 |
| Medicare PECOS PAC ID | 0840630380 |
|---|---|
| Medicare Enrollment ID | O20240516004153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386419000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Darrell D Wadas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871565739 PECOS PAC ID: 4183654684 Enrollment ID: I20050815000709 |
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