| Molden Enterprises Llc | |
|
6336 N Oracle Rd Ste 310 Tucson AZ 85704-5486 | |
| (520) 575-5833 | |
| Not Available |
| Full Name | Molden Enterprises Llc |
|---|---|
| Speciality | General Practice |
| Location | 6336 N Oracle Rd Ste 310, Tucson, Arizona |
| Authorized Official Name and Position | Jennifer Molden (EMPLOYEE) |
| Authorized Official Contact | 5205755833 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Molden Enterprises Llc 6336 N Oracle Rd Ste 310 Tucson AZ 85704-5486 Ph: () - | Molden Enterprises Llc 6336 N Oracle Rd Ste 310 Tucson AZ 85704-5486 Ph: (520) 575-5833 |
| NPI Number | 1659932077 |
|---|---|
| Provider Enumeration Date | 06/26/2019 |
| Last Update Date | 06/26/2019 |
| Medicare PECOS PAC ID | 3173953718 |
|---|---|
| Medicare Enrollment ID | O20201012001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659932077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | James D Suba |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205876364 PECOS PAC ID: 3577530674 Enrollment ID: I20040916000470 |
| Provider Name | Adam Theodore Molden |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992020630 PECOS PAC ID: 0547441495 Enrollment ID: I20120315000202 |
| Provider Name | Norma Alicia Bernal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316595424 PECOS PAC ID: 2365875473 Enrollment ID: I20191204000111 |
| Provider Name | Kelley Beck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871951475 PECOS PAC ID: 7214232610 Enrollment ID: I20201021002909 |
| Provider Name | Jennifer Marie Borbon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740866276 PECOS PAC ID: 6709288921 Enrollment ID: I20210712000922 |
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