Millennium Physician Group | |
1811 E Mcmurray Blvd Casa Grande AZ 85122-5404 | |
(520) 374-2090 | |
Not Available |
Full Name | Millennium Physician Group |
---|---|
Speciality | Family Medicine |
Location | 1811 E Mcmurray Blvd, Casa Grande, Arizona |
Authorized Official Name and Position | Daniel E. Dosoretz (CEO/PRESIDENT) |
Authorized Official Contact | 2399317277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Millennium Physician Group 2234 Colonial Blvd Fort Myers FL 33907-1412 Ph: (239) 931-7342 | Millennium Physician Group 1811 E Mcmurray Blvd Casa Grande AZ 85122-5404 Ph: (520) 374-2090 |
NPI Number | 1104132166 |
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Provider Enumeration Date | 08/27/2010 |
Last Update Date | 08/27/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104132166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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