Grand Canyon University | |
3300 W Camelback Rd Health Center Phoenix AZ 85017-1097 | |
(602) 639-6215 | |
(602) 639-7830 |
Full Name | Grand Canyon University |
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Speciality | Family Medicine |
Location | 3300 W Camelback Rd, Phoenix, Arizona |
Authorized Official Name and Position | Constance Colbert (DIRECTOR) |
Authorized Official Contact | 6026397757 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grand Canyon University 3300 W Camelback Rd Health Center Phoenix AZ 85017-1097 Ph: (602) 639-6215 | Grand Canyon University 3300 W Camelback Rd Health Center Phoenix AZ 85017-1097 Ph: (602) 639-6215 |
NPI Number | 1124501069 |
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Provider Enumeration Date | 09/06/2018 |
Last Update Date | 02/06/2021 |
Medicare PECOS PAC ID | 9537577499 |
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Medicare Enrollment ID | O20210415000091 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124501069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OTC9096 (Arizona) | Primary |
Provider Name | Tamara N Wisely |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801918883 PECOS PAC ID: 2567524739 Enrollment ID: I20081222000541 |
Provider Name | Constance R Colbert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205083839 PECOS PAC ID: 6103974316 Enrollment ID: I20090428000112 |
Provider Name | Matthew D Shores |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861513889 PECOS PAC ID: 0042356982 Enrollment ID: I20091007000583 |
Provider Name | Lyndee A Johnson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285989608 PECOS PAC ID: 1759530751 Enrollment ID: I20121008000487 |
Provider Name | Cyndirae Braun |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508293903 PECOS PAC ID: 2567688385 Enrollment ID: I20140919002274 |
Provider Name | Heather A Healy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669493771 PECOS PAC ID: 8628073921 Enrollment ID: I20160914000346 |
Provider Name | Lily Anna Limon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841761434 PECOS PAC ID: 9436567278 Enrollment ID: I20210416000726 |
Provider Name | Bethany Whitson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477052876 PECOS PAC ID: 0648688127 Enrollment ID: I20210422000035 |
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 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
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 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |