| Medico | |
|
6120 W Bell Rd Ste 100 Glendale AZ 85308-3780 | |
| (833) 263-3426 | |
| (866) 264-4120 |
| Full Name | Medico |
|---|---|
| Speciality | General Practice |
| Location | 6120 W Bell Rd Ste 100, Glendale, Arizona |
| Authorized Official Name and Position | Glenn Kunsman (CEO) |
| Authorized Official Contact | 9283772882 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medico 6120 W Bell Rd Ste 100 Glendale AZ 85308-3780 Ph: (332) 633-4268 | Medico 6120 W Bell Rd Ste 100 Glendale AZ 85308-3780 Ph: (833) 263-3426 |
| NPI Number | 1730648809 |
|---|---|
| Provider Enumeration Date | 03/18/2019 |
| Last Update Date | 11/15/2021 |
| Medicare PECOS PAC ID | 7113250960 |
|---|---|
| Medicare Enrollment ID | O20190610002012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730648809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Glenn R Kunsman |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588972889 PECOS PAC ID: 5799919742 Enrollment ID: I20131008000092 |
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