| Halcyon Health & Wellness | |
|
7747 W Deer Valley Rd Ste 250 Peoria AZ 85382-2124 | |
| (623) 234-2447 | |
| Not Available |
| Full Name | Halcyon Health & Wellness |
|---|---|
| Speciality | Internal Medicine |
| Location | 7747 W Deer Valley Rd Ste 250, Peoria, Arizona |
| Authorized Official Name and Position | Charles C Brooker (OWNER/PROVIDER) |
| Authorized Official Contact | 8178755942 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halcyon Health & Wellness 4531 N 16th St Ste 114 Phoenix AZ 85016-5344 Ph: (602) 274-0078 | Halcyon Health & Wellness 7747 W Deer Valley Rd Ste 250 Peoria AZ 85382-2124 Ph: (623) 234-2447 |
| NPI Number | 1841779063 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 04/10/2020 |
| Medicare PECOS PAC ID | 9830436435 |
|---|---|
| Medicare Enrollment ID | O20190121000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841779063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 005667 (Arizona) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | 005567 (Arizona) | Primary |
| Provider Name | Charles C Brooker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881823250 PECOS PAC ID: 4082895198 Enrollment ID: I20120803000710 |
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