| Moon Valley Medical Center Pc | |
|
13206 North 7th Street Phoenix AZ 85022 | |
| (602) 866-2277 | |
| (602) 866-7998 |
| Full Name | Moon Valley Medical Center Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 13206 North 7th Street, Phoenix, Arizona |
| Authorized Official Name and Position | Leslie Diane Edison (PRESIDENT) |
| Authorized Official Contact | 6028662277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Valley Medical Center Pc 13206 North 7th Street Phoenix AZ 85022 Ph: (602) 866-2277 | Moon Valley Medical Center Pc 13206 North 7th Street Phoenix AZ 85022 Ph: (602) 866-2277 |
| NPI Number | 1396956918 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 11/23/2009 |
| Medicare PECOS PAC ID | 0547246282 |
|---|---|
| Medicare Enrollment ID | O20040624001588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396956918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2491 (Arizona) | Primary |
| Provider Name | Leslie D Edison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417988254 PECOS PAC ID: 8527123124 Enrollment ID: I20090216000089 |
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 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |