Optimal Practice | |
610 E Baseline Rd Tempe AZ 85283-1204 | |
(310) 877-0127 | |
(623) 321-6694 |
Full Name | Optimal Practice |
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Speciality | Family Medicine |
Location | 610 E Baseline Rd, Tempe, Arizona |
Authorized Official Name and Position | Ryan Beatty (OWNER) |
Authorized Official Contact | 3108770127 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Optimal Practice 610 E Baseline Rd Tempe AZ 85283-1204 Ph: (310) 877-0127 | Optimal Practice 610 E Baseline Rd Tempe AZ 85283-1204 Ph: (310) 877-0127 |
NPI Number | 1447992185 |
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Provider Enumeration Date | 04/12/2022 |
Last Update Date | 04/12/2022 |
Medicare PECOS PAC ID | 0547620734 |
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Medicare Enrollment ID | O20230719003565 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447992185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Mark Phillip Siegel |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1487690046 PECOS PAC ID: 1951218684 Enrollment ID: I20051102000336 |
Healthfirst Primary Care, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2153 E Baseline Rd Ste 101, Tempe, AZ 85283 Phone: 480-820-1855 Fax: 480-820-8451 | |
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