| Metier Clinical Servies | |
|
3511 E Indian School Rd Phoenix AZ 85018-5114 | |
| (602) 835-2675 | |
| Not Available |
| Full Name | Metier Clinical Servies |
|---|---|
| Speciality | Family Medicine |
| Location | 3511 E Indian School Rd, Phoenix, Arizona |
| Authorized Official Name and Position | John Randle House (OWNER) |
| Authorized Official Contact | 6027961178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metier Clinical Servies 4214 E Indian School Rd Ste 103 Phoenix AZ 85018-5339 Ph: (602) 775-5699 | Metier Clinical Servies 3511 E Indian School Rd Phoenix AZ 85018-5114 Ph: (602) 835-2675 |
| NPI Number | 1306475678 |
|---|---|
| Provider Enumeration Date | 04/07/2020 |
| Last Update Date | 01/23/2024 |
| Medicare PECOS PAC ID | 5193004893 |
|---|---|
| Medicare Enrollment ID | O20200603002715 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306475678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Ann M Lacey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346509833 PECOS PAC ID: 0941457261 Enrollment ID: I20120821001067 |
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