| Natural Medicine And Detox Inc. | |
|
2701 N 7th St Phoenix AZ 85006-1004 | |
| (602) 307-0888 | |
| (602) 307-1002 |
| Full Name | Natural Medicine And Detox Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2701 N 7th St, Phoenix, Arizona |
| Authorized Official Name and Position | Mario Fontes (CLINIC DIRECTOR) |
| Authorized Official Contact | 6023070888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Natural Medicine And Detox Inc. 2701 N 7th St Phoenix AZ 85006-1004 Ph: (602) 307-0888 | Natural Medicine And Detox Inc. 2701 N 7th St Phoenix AZ 85006-1004 Ph: (602) 307-0888 |
| NPI Number | 1700253507 |
|---|---|
| Provider Enumeration Date | 08/27/2015 |
| Last Update Date | 11/04/2022 |
| Medicare PECOS PAC ID | 9537575840 |
|---|---|
| Medicare Enrollment ID | O20210311002013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700253507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0680 (Arizona) | Primary |
| Provider Name | Jeannine L Hinds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699091694 PECOS PAC ID: 3678711868 Enrollment ID: I20130806000847 |
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