| Lifespan Healthcare | |
|
690 E Warner Rd 112 Gilbert AZ 85296-3054 | |
| (480) 633-3540 | |
| (480) 633-5605 |
| Full Name | Lifespan Healthcare |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 690 E Warner Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Anaresia Marie Richard (PRIMARY CARE PROVIDER / OWNER) |
| Authorized Official Contact | 4806333540 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespan Healthcare 690 E Warner Rd Suite 112 Gilbert AZ 85296-3054 Ph: (480) 633-3540 | Lifespan Healthcare 690 E Warner Rd 112 Gilbert AZ 85296-3054 Ph: (480) 633-3540 |
| NPI Number | 1336527845 |
|---|---|
| Provider Enumeration Date | 05/16/2015 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336527845 | NPI | - | NPPES |
| 766777 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP1692 (Arizona) | Primary |
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