| Glendale Medical Group Llc | |
|
9971 W Camelback Rd Ste 105 Phoenix AZ 85037-5011 | |
| (480) 306-7227 | |
| Not Available |
| Full Name | Glendale Medical Group Llc |
|---|---|
| Speciality | General Practice |
| Location | 9971 W Camelback Rd Ste 105, Phoenix, Arizona |
| Authorized Official Name and Position | Michael Cormier (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 4803067227 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glendale Medical Group Llc 4432 N Miller Rd Ste 102 Scottsdale AZ 85251-3697 Ph: (480) 306-7227 | Glendale Medical Group Llc 9971 W Camelback Rd Ste 105 Phoenix AZ 85037-5011 Ph: (480) 306-7227 |
| NPI Number | 1942776323 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 02/12/2024 |
| Medicare PECOS PAC ID | 0648514158 |
|---|---|
| Medicare Enrollment ID | O20181210001760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942776323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Bryan James Mack |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538266432 PECOS PAC ID: 8426021353 Enrollment ID: I20040818000279 |
| Provider Name | Michael D Cormier |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851499057 PECOS PAC ID: 6901879824 Enrollment ID: I20040823001155 |
| Provider Name | Justin R Wright |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962693986 PECOS PAC ID: 3678668886 Enrollment ID: I20071003000387 |
| Provider Name | Andrew Leo Hansen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962994467 PECOS PAC ID: 4284980855 Enrollment ID: I20180712000612 |
| Provider Name | Emmanuel Monroy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407485840 PECOS PAC ID: 2062835960 Enrollment ID: I20200710002214 |
| Provider Name | Nicholas J Januszko |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1689322299 PECOS PAC ID: 3779970496 Enrollment ID: I20220428000268 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
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Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
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