| John Prieve Do A Professional Corporation | |
|
8509 N 51st Ave Glendale AZ 85302-4919 | |
| (602) 973-2712 | |
| (602) 841-3218 |
| Full Name | John Prieve Do A Professional Corporation |
|---|---|
| Speciality | Clinic/Center |
| Location | 8509 N 51st Ave, Glendale, Arizona |
| Authorized Official Name and Position | John Prieve (PHYSICIAN OWNER) |
| Authorized Official Contact | 6029732712 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John Prieve Do A Professional Corporation 8509 N 51st Ave Glendale AZ 85302-4919 Ph: (602) 973-2712 | John Prieve Do A Professional Corporation 8509 N 51st Ave Glendale AZ 85302-4919 Ph: (602) 973-2712 |
| NPI Number | 1730353046 |
|---|---|
| Provider Enumeration Date | 04/17/2008 |
| Last Update Date | 12/01/2022 |
| Medicare PECOS PAC ID | 6002995230 |
|---|---|
| Medicare Enrollment ID | O20080429000911 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730353046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 26-13939581 (Arizona) | Primary |
| Provider Name | John E Prieve |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609887389 PECOS PAC ID: 3870590755 Enrollment ID: I20061107000396 |
| Provider Name | Ashley N Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013408020 PECOS PAC ID: 3870845654 Enrollment ID: I20181004002953 |
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