Mitch Freeman Md Pc | |
2120 W 24th St Suite B Yuma AZ 85364-6187 | |
(928) 314-1695 | |
Not Available |
Full Name | Mitch Freeman Md Pc |
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Speciality | Family Medicine |
Location | 2120 W 24th St, Yuma, Arizona |
Authorized Official Name and Position | Mitch Freeman (PRESIDENT/OWNER) |
Authorized Official Contact | 9283141695 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mitch Freeman Md Pc 2120 W 24th St Suite B Yuma AZ 85364-6187 Ph: () - | Mitch Freeman Md Pc 2120 W 24th St Suite B Yuma AZ 85364-6187 Ph: (928) 314-1695 |
NPI Number | 1922436625 |
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Provider Enumeration Date | 10/16/2013 |
Last Update Date | 10/16/2013 |
Medicare PECOS PAC ID | 3072583632 |
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Medicare Enrollment ID | O20040729001410 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922436625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27545 (Arizona) | Primary |
Provider Name | Mitch M Freeman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164459434 PECOS PAC ID: 7517937170 Enrollment ID: I20040730000493 |
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