| |
13090 N 94th Dr Ste 210 Peoria AZ 85381-4258 | |
(623) 972-6700 | |
(623) 933-3755 |
Full Name | |
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Speciality | Internal Medicine |
Location | 13090 N 94th Dr Ste 210, Peoria, Arizona |
Authorized Official Name and Position | Ruben Aguilera (PRESIDENT) |
Authorized Official Contact | 6239726700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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13090 N 94th Dr Ste 210 Peoria AZ 85381-4258 Ph: (623) 972-6700 | 13090 N 94th Dr Ste 210 Peoria AZ 85381-4258 Ph: (623) 972-6700 |
NPI Number | 1114064995 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114064995 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 10747 (Arizona) | Primary |
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