| Mesa Verde Medical Group Pc | |
|
395 N Silverbell Rd Suite #265 Tucson AZ 85745-2675 | |
| (520) 624-2194 | |
| (520) 624-2193 |
| Full Name | Mesa Verde Medical Group Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 395 N Silverbell Rd, Tucson, Arizona |
| Authorized Official Name and Position | Armando Gonzalez (PRESIDENT) |
| Authorized Official Contact | 5206242194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesa Verde Medical Group Pc Po Box 43160 Tucson AZ 85733-3160 Ph: (520) 624-2194 | Mesa Verde Medical Group Pc 395 N Silverbell Rd Suite #265 Tucson AZ 85745-2675 Ph: (520) 624-2194 |
| NPI Number | 1265637888 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 10/14/2020 |
| Medicare PECOS PAC ID | 2567446768 |
|---|---|
| Medicare Enrollment ID | O20040615001622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265637888 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 332900000X | Non-pharmacy Dispensing Site | 24499 (Arizona) | Secondary |
| Provider Name | Armando M Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003827692 PECOS PAC ID: 3971587171 Enrollment ID: I20120223000855 |
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