| Medically Directed Care Clinic Phoenix, Llc | |
|
1425 S Higley Rd Gilbert AZ 85296-4798 | |
| (480) 870-1414 | |
| Not Available |
| Full Name | Medically Directed Care Clinic Phoenix, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1425 S Higley Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Jeffrey Loran Webb (OWNER) |
| Authorized Official Contact | 6023265932 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medically Directed Care Clinic Phoenix, Llc 3714 S Ponderosa Dr Gilbert AZ 85297-7422 Ph: (602) 326-5932 | Medically Directed Care Clinic Phoenix, Llc 1425 S Higley Rd Gilbert AZ 85296-4798 Ph: (480) 870-1414 |
| NPI Number | 1548037732 |
|---|---|
| Provider Enumeration Date | 12/07/2023 |
| Last Update Date | 12/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548037732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Secondary |
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