| James S Cerneka Do Pllc | |
|
500 W 10th Pl Ste 120 Mesa AZ 85201-3218 | |
| (480) 545-2610 | |
| (480) 545-2673 |
| Full Name | James S Cerneka Do Pllc |
|---|---|
| Speciality | General Practice |
| Location | 500 W 10th Pl Ste 120, Mesa, Arizona |
| Authorized Official Name and Position | James S Cerneka (OWNER) |
| Authorized Official Contact | 4805452610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James S Cerneka Do Pllc 500 W 10th Pl Ste 120 Mesa AZ 85201-3218 Ph: (480) 545-2610 | James S Cerneka Do Pllc 500 W 10th Pl Ste 120 Mesa AZ 85201-3218 Ph: (480) 545-2610 |
| NPI Number | 1396934402 |
|---|---|
| Provider Enumeration Date | 10/15/2007 |
| Last Update Date | 10/15/2007 |
| Medicare PECOS PAC ID | 4981686243 |
|---|---|
| Medicare Enrollment ID | O20040602000494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396934402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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