| |
7831 W Deer Valley Rd Peoria AZ 85382-2140 | |
(623) 312-2265 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 7831 W Deer Valley Rd, Peoria, Arizona |
Authorized Official Name and Position | John Neil (EVP/CPE) |
Authorized Official Contact | 4805875123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2500 W Utopia Rd Suite 100 Phoenix AZ 85027-4171 Ph: (623) 434-6200 | 7831 W Deer Valley Rd Peoria AZ 85382-2140 Ph: (623) 312-2265 |
NPI Number | 1174869721 |
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Provider Enumeration Date | 12/28/2012 |
Last Update Date | 09/23/2022 |
Identifier | Type | State | Issuer |
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1174869721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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