| Integra Home Doctors, Inc. | |
|
16165 N 83rd Ave Suite 200 Peoria AZ 85382-5816 | |
| (623) 888-3014 | |
| Not Available |
| Full Name | Integra Home Doctors, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 16165 N 83rd Ave, Peoria, Arizona |
| Authorized Official Name and Position | Glenn Leong Manguerra (PRESIDENT) |
| Authorized Official Contact | 7737919340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integra Home Doctors, Inc. 16165 N 83rd Ave Suite 200 Peoria AZ 85382-5816 Ph: (623) 888-3014 | Integra Home Doctors, Inc. 16165 N 83rd Ave Suite 200 Peoria AZ 85382-5816 Ph: (623) 888-3014 |
| NPI Number | 1295131712 |
|---|---|
| Provider Enumeration Date | 11/11/2014 |
| Last Update Date | 05/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295131712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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