Buckeye | |
1500 S Watson Rd Ste 104 Buckeye AZ 85326-8690 | |
(623) 251-7559 | |
Not Available |
Full Name | Buckeye |
---|---|
Speciality | Family Medicine |
Location | 1500 S Watson Rd Ste 104, Buckeye, Arizona |
Authorized Official Name and Position | April King (CREDENTIALING MANAGER) |
Authorized Official Contact | 4692215944 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Buckeye 2460 Paseo Verde Pkwy Ste 145 Henderson NV 89074-7142 Ph: (702) 820-5713 | Buckeye 1500 S Watson Rd Ste 104 Buckeye AZ 85326-8690 Ph: (623) 251-7559 |
NPI Number | 1255046918 |
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Provider Enumeration Date | 01/17/2023 |
Last Update Date | 01/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255046918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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