Griffin Medical, Pllc | |
2034 E Southern Ave Ste B Tempe AZ 85282-7511 | |
(480) 400-3175 | |
Not Available |
Full Name | Griffin Medical, Pllc |
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Speciality | Family Medicine |
Location | 2034 E Southern Ave Ste B, Tempe, Arizona |
Authorized Official Name and Position | Angela Griffin (OWNER) |
Authorized Official Contact | 4808248170 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Griffin Medical, Pllc 2034 E Southern Ave Ste B Tempe AZ 85282-7511 Ph: (480) 824-8170 | Griffin Medical, Pllc 2034 E Southern Ave Ste B Tempe AZ 85282-7511 Ph: (480) 400-3175 |
NPI Number | 1922732296 |
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Provider Enumeration Date | 07/13/2022 |
Last Update Date | 05/02/2023 |
Medicare PECOS PAC ID | 0143682971 |
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Medicare Enrollment ID | O20230810003971 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922732296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Angela Mae Griffin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750640454 PECOS PAC ID: 5991018640 Enrollment ID: I20150723008638 |
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