| Malin Medical, Pllc | |
|
17301 E Spring Valley Rd Ste F Mayer AZ 86333-4263 | |
| (928) 632-4909 | |
| (928) 632-4973 |
| Full Name | Malin Medical, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 17301 E Spring Valley Rd Ste F, Mayer, Arizona |
| Authorized Official Name and Position | Sue Denz (OWNER) |
| Authorized Official Contact | 9287105851 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Malin Medical, Pllc 17301 E Spring Valley Rd Ste F Mayer AZ 86333-4263 Ph: (928) 632-4909 | Malin Medical, Pllc 17301 E Spring Valley Rd Ste F Mayer AZ 86333-4263 Ph: (928) 632-4909 |
| NPI Number | 1265020127 |
|---|---|
| Provider Enumeration Date | 01/06/2021 |
| Last Update Date | 01/06/2021 |
| Medicare PECOS PAC ID | 5496161259 |
|---|---|
| Medicare Enrollment ID | O20210303001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265020127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Karen R Buntin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568582591 PECOS PAC ID: 0749244424 Enrollment ID: I20041112000591 |
| Provider Name | Linda J Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013291707 PECOS PAC ID: 2668496266 Enrollment ID: I20060123000490 |
| Provider Name | Elizabeth M Tarufelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336162866 PECOS PAC ID: 0749285831 Enrollment ID: I20060923000053 |
Malin Medical, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 17301 E Spring Valley Rd, Mayer, AZ 86333 Phone: 928-632-4909 Fax: 928-632-4973 |