| Gilbert Family Med Keith | |
|
3011 S Lindsay Rd Ste 110 Gilbert AZ 85295-4334 | |
| (480) 355-8180 | |
| (480) 355-8844 |
| Full Name | Gilbert Family Med Keith |
|---|---|
| Speciality | Family Medicine |
| Location | 3011 S Lindsay Rd Ste 110, Gilbert, Arizona |
| Authorized Official Name and Position | Keith D Ginsberg (OWNER) |
| Authorized Official Contact | 4803558180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilbert Family Med Keith 3011 S Lindsay Rd Ste 110 Gilbert AZ 85295-4334 Ph: (480) 355-8180 | Gilbert Family Med Keith 3011 S Lindsay Rd Ste 110 Gilbert AZ 85295-4334 Ph: (480) 355-8180 |
| NPI Number | 1326235391 |
|---|---|
| Provider Enumeration Date | 10/03/2007 |
| Last Update Date | 10/04/2007 |
| Medicare PECOS PAC ID | 9133175060 |
|---|---|
| Medicare Enrollment ID | O20050323001421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326235391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3817 (Arizona) | Primary |
| Provider Name | Keith D Ginsberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285615906 PECOS PAC ID: 4082660949 Enrollment ID: I20050324000278 |
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