Higley Family Medicine, Llc | |
1425 S Higley Rd Suite 102 Gilbert AZ 85296-4798 | |
(480) 988-6878 | |
(480) 988-6879 |
Full Name | Higley Family Medicine, Llc |
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Speciality | Family Medicine |
Location | 1425 S Higley Rd, Gilbert, Arizona |
Authorized Official Name and Position | Trevor W Whitmore (OWNER/PHYSICIAN ASSISTANT) |
Authorized Official Contact | 4809886878 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Higley Family Medicine, Llc 1425 S Higley Rd Suite 102 Gilbert AZ 85296-4798 Ph: (480) 988-6878 | Higley Family Medicine, Llc 1425 S Higley Rd Suite 102 Gilbert AZ 85296-4798 Ph: (480) 988-6878 |
NPI Number | 1366626400 |
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Provider Enumeration Date | 12/26/2007 |
Last Update Date | 06/13/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366626400 | NPI | - | NPPES |
560674 | Medicaid | AZ | |
228810 | Medicaid | AZ | |
286791 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 2399 (Arizona) | Primary |
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