Healthy You | |
1760 E Pecos Rd Ste 431 Gilbert AZ 85295-3209 | |
(480) 237-3451 | |
(480) 499-5666 |
Full Name | Healthy You |
---|---|
Speciality | Family Medicine |
Location | 1760 E Pecos Rd Ste 431, Gilbert, Arizona |
Authorized Official Name and Position | Omar L. Dominique (OWNER/PRESIDENT) |
Authorized Official Contact | 8722127966 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Healthy You 1760 E Pecos Rd Ste 431 Gilbert AZ 85295-3209 Ph: (872) 212-7966 | Healthy You 1760 E Pecos Rd Ste 431 Gilbert AZ 85295-3209 Ph: (480) 237-3451 |
NPI Number | 1407472467 |
---|---|
Provider Enumeration Date | 06/24/2020 |
Last Update Date | 01/11/2025 |
Medicare PECOS PAC ID | 2264856137 |
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Medicare Enrollment ID | O20200724000601 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407472467 | NPI | - | NPPES |
1770996050 | Other | MS | NPI |
02887009 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Omar Latimer Dominique |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1770996050 PECOS PAC ID: 0941524516 Enrollment ID: I20191217001397 |
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