| Joseph A. Rotella Md,dc | |
|
10133 N 92nd St Suite 101 Scottsdale AZ 85258-4556 | |
| (480) 614-5808 | |
| (480) 614-5809 |
| Full Name | Joseph A. Rotella Md,dc |
|---|---|
| Speciality | Family Medicine |
| Location | 10133 N 92nd St, Scottsdale, Arizona |
| Authorized Official Name and Position | Joseph A. Rotella (OWNER) |
| Authorized Official Contact | 4806145808 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph A. Rotella Md,dc 6501 E Greenway Pkwy Suite #103-492 Scottsdale AZ 85254-2065 Ph: (480) 614-5808 | Joseph A. Rotella Md,dc 10133 N 92nd St Suite 101 Scottsdale AZ 85258-4556 Ph: (480) 614-5808 |
| NPI Number | 1174772487 |
|---|---|
| Provider Enumeration Date | 09/10/2008 |
| Last Update Date | 10/01/2008 |
| Medicare PECOS PAC ID | 2860551116 |
|---|---|
| Medicare Enrollment ID | O20081031000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174772487 | NPI | - | NPPES |
| 40913 | Other | AZ | ARIZONA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | 40913 (Arizona) | Primary |
| Provider Name | Jason T Richard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619151552 PECOS PAC ID: 0042362030 Enrollment ID: I20090722000631 |
| Provider Name | Christina L Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821319872 PECOS PAC ID: 7113101098 Enrollment ID: I20110419000057 |
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