| Gilbert Road Family Medicine Pc | |
|
643 N Gilbert Rd Mesa AZ 85203-6659 | |
| (480) 898-9686 | |
| (480) 898-1092 |
| Full Name | Gilbert Road Family Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 643 N Gilbert Rd, Mesa, Arizona |
| Authorized Official Name and Position | Thomas C Edwards (PRESIDENT) |
| Authorized Official Contact | 4808989686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gilbert Road Family Medicine Pc 643 N Gilbert Rd Mesa AZ 85203-6659 Ph: (480) 898-9686 | Gilbert Road Family Medicine Pc 643 N Gilbert Rd Mesa AZ 85203-6659 Ph: (480) 898-9686 |
| NPI Number | 1770647380 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 11/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770647380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1788 (Arizona) | Primary |
| 207R00000X | Internal Medicine | 26874 (Arizona) | Secondary |
| 208000000X | Pediatrics | 26874 (Arizona) | Secondary |
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