| Medpro | |
|
2601 E Roosevelt St Phoenix AZ 85008-4973 | |
| (602) 344-5098 | |
| (602) 344-1488 |
| Full Name | Medpro |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 2601 E Roosevelt St, Phoenix, Arizona |
| Authorized Official Name and Position | Teresa Cordeiro (CREDENTIALING MANAGER) |
| Authorized Official Contact | 6024705043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medpro 2929 E Thomas Rd Phoenix AZ 85016-8034 Ph: (602) 470-5000 | Medpro 2601 E Roosevelt St Phoenix AZ 85008-4973 Ph: (602) 344-5098 |
| NPI Number | 1508057332 |
|---|---|
| Provider Enumeration Date | 08/07/2007 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508057332 | NPI | - | NPPES |
| 69317 | Other | AZ | MEDICARE ID GROUP # |
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