|
| |
|
40 S Kyrene Rd Suite 3 Chandler AZ 85226-4675 | |
| (480) 706-0174 | |
| (480) 706-0117 |
| Full Name | |
|---|---|
| Speciality | General Practice |
| Location | 40 S Kyrene Rd, Chandler, Arizona |
| Authorized Official Name and Position | Kenneth L Pettit (OWNER / PHYSICIAN) |
| Authorized Official Contact | 4807060174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16515 S 40th St Suite 139 Phoenix AZ 85048-0558 Ph: (480) 706-0174 | 40 S Kyrene Rd Suite 3 Chandler AZ 85226-4675 Ph: (480) 706-0174 |
| NPI Number | 1972806834 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972806834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 3344 (Arizona) | Primary |
Pioneer Hospitalists, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 475 S Dobson Rd, Chandler, AZ 85224 Phone: 480-926-0170 Fax: 480-452-0715 | |
Desert Canyon Family & Sports Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3800 W Ray Rd Ste 5, Chandler, AZ 85226 Phone: 480-820-4305 Fax: 480-820-5540 | |
Arizona Hospitalists Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1080 E Pecos Rd, 18-439, Chandler, AZ 85225 Phone: 602-230-1215 Fax: 602-241-0249 | |
Atlas Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2350 E Germann Rd, Ste 31, Chandler, AZ 85286 Phone: 480-878-5306 Fax: 480-320-1391 | |
Ocotillo Dermatology, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3930 S Alma School Rd Ste 8, Chandler, AZ 85248 Phone: 480-917-4815 Fax: 480-963-2654 | |
Dr Eileen Chang Family Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1455 W Chandler Blvd Ste 4, Chandler, AZ 85224 Phone: 480-674-4100 |