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12035 N Saguaro Blvd Ste 203 Fountain Hills AZ 85268 | |
| (623) 256-3986 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 12035 N Saguaro Blvd, Fountain Hills, Arizona |
| Authorized Official Name and Position | Kelli L Casady (MEMBER) |
| Authorized Official Contact | 4804622950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12035 N Saguaro Blvd Ste 203 Fountain Hills AZ 85268-4647 Ph: (480) 462-2950 | 12035 N Saguaro Blvd Ste 203 Fountain Hills AZ 85268 Ph: (623) 256-3986 |
| NPI Number | 1154856474 |
|---|---|
| Provider Enumeration Date | 04/24/2017 |
| Last Update Date | 06/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154856474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Secondary |
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