| Mobile Valley Physicians, Llc | |
|
11811 N Tatum Blvd Ste 3031 Phoenix AZ 85028-1621 | |
| (480) 589-2890 | |
| (480) 436-6599 |
| Full Name | Mobile Valley Physicians, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11811 N Tatum Blvd Ste 3031, Phoenix, Arizona |
| Authorized Official Name and Position | Amy Selter (CEO) |
| Authorized Official Contact | 8089711825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Valley Physicians, Llc 11811 N Tatum Blvd Ste 3031 Phoenix AZ 85028-1621 Ph: (480) 589-2890 | Mobile Valley Physicians, Llc 11811 N Tatum Blvd Ste 3031 Phoenix AZ 85028-1621 Ph: (480) 589-2890 |
| NPI Number | 1588105662 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 05/31/2023 |
| Medicare PECOS PAC ID | 2668759564 |
|---|---|
| Medicare Enrollment ID | O20170502001387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588105662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Arizona) | Primary |
| Provider Name | Dennis R Pena |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376638783 PECOS PAC ID: 4183514722 Enrollment ID: I20061127000394 |
| Provider Name | Lynn Rowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396897872 PECOS PAC ID: 1759488190 Enrollment ID: I20070521000294 |
| Provider Name | Kimberly Ann Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265646186 PECOS PAC ID: 5991864506 Enrollment ID: I20081111000218 |
| Provider Name | Andrew C Straley |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1336252345 PECOS PAC ID: 6103887377 Enrollment ID: I20120905000171 |
| Provider Name | Melissa M Pannell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053756403 PECOS PAC ID: 3779706833 Enrollment ID: I20140519002001 |
| Provider Name | Karen M Trask |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649679853 PECOS PAC ID: 9133442940 Enrollment ID: I20150102000009 |
| Provider Name | Richard M Moe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790734952 PECOS PAC ID: 3375546443 Enrollment ID: I20150224000534 |
| Provider Name | Jeanne Esther Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619395399 PECOS PAC ID: 3476865460 Enrollment ID: I20150706000444 |
| Provider Name | Mary S Rihani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447703913 PECOS PAC ID: 9830486570 Enrollment ID: I20160923002182 |
| Provider Name | Sharon Yenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366523987 PECOS PAC ID: 4587800941 Enrollment ID: I20170627002112 |
| Provider Name | Julie Angileri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235515768 PECOS PAC ID: 7113298597 Enrollment ID: I20170803000250 |
| Provider Name | Nicol Montez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871016394 PECOS PAC ID: 4385916352 Enrollment ID: I20170825001621 |
| Provider Name | Teri C. Mclenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972023315 PECOS PAC ID: 2466728985 Enrollment ID: I20171026003425 |
| Provider Name | Alexander Spritzer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366830234 PECOS PAC ID: 4981923257 Enrollment ID: I20180319001507 |
| Provider Name | Kirsten Rivas-andrews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265933717 PECOS PAC ID: 3971852690 Enrollment ID: I20180814001074 |
| Provider Name | Patrick Gillihan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1255715579 PECOS PAC ID: 5698024974 Enrollment ID: I20180820002469 |
| Provider Name | Kelly L Gray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467951491 PECOS PAC ID: 3173861234 Enrollment ID: I20190214002309 |
| Provider Name | Ran Mcbryde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841760766 PECOS PAC ID: 8123367919 Enrollment ID: I20190221001730 |
| Provider Name | Christopher Sheena |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841532421 PECOS PAC ID: 7416241930 Enrollment ID: I20190315002279 |
| Provider Name | Rosalind Robles Caumban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295292589 PECOS PAC ID: 0648506170 Enrollment ID: I20190808001277 |
| Provider Name | Deborah Koval |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811543317 PECOS PAC ID: 7214369024 Enrollment ID: I20191118000049 |
| Provider Name | Amanda Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669010757 PECOS PAC ID: 0446687503 Enrollment ID: I20200302001243 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
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