| Internal Medicine Of Yuma Llc | |
|
2285 S Elks Ln Yuma AZ 85364-6258 | |
| (928) 329-4761 | |
| (928) 329-4448 |
| Full Name | Internal Medicine Of Yuma Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2285 S Elks Ln, Yuma, Arizona |
| Authorized Official Name and Position | Rinely R Aguiar-olsen (OWNER) |
| Authorized Official Contact | 9283294761 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Of Yuma Llc 2285 S Elks Ln Yuma AZ 85364-6258 Ph: (928) 329-4761 | Internal Medicine Of Yuma Llc 2285 S Elks Ln Yuma AZ 85364-6258 Ph: (928) 329-4761 |
| NPI Number | 1831370576 |
|---|---|
| Provider Enumeration Date | 11/23/2007 |
| Last Update Date | 09/15/2008 |
| Medicare PECOS PAC ID | 3678653300 |
|---|---|
| Medicare Enrollment ID | O20080107000688 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831370576 | NPI | - | NPPES |
| 1831370576 | Other | AZ | BLUE CROSS AND BLUE SHIELD |
| 51607302 | Medicaid | AZ | |
| 1831370576 | Other | AZ | HEALTHNET |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 28377 (Arizona) | Primary |
| Provider Name | Rinely R Aguiar Olsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891786141 PECOS PAC ID: 4688762859 Enrollment ID: I20071121000571 |
| Provider Name | Brady L Olsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902833106 PECOS PAC ID: 7911072897 Enrollment ID: I20080813000184 |
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