| Pacific Family Medicine, Inc. | |
|
2360 W Ray Rd Ste 2 Chandler AZ 85224-3634 | |
| (480) 855-3770 | |
| (480) 855-7906 |
| Full Name | Pacific Family Medicine, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 2360 W Ray Rd Ste 2, Chandler, Arizona |
| Authorized Official Name and Position | Natividad Verdejo (PHYSICIAN) |
| Authorized Official Contact | 4808553770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Family Medicine, Inc. Po Box 6218 Chandler AZ 85246-6218 Ph: (480) 855-3770 | Pacific Family Medicine, Inc. 2360 W Ray Rd Ste 2 Chandler AZ 85224-3634 Ph: (480) 855-3770 |
| NPI Number | 1649404153 |
|---|---|
| Provider Enumeration Date | 05/12/2009 |
| Last Update Date | 01/20/2010 |
| Medicare PECOS PAC ID | 0840323838 |
|---|---|
| Medicare Enrollment ID | O20100727001119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649404153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 22684 (Arizona) | Primary |
| Provider Name | Natividad Verdejo Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396890612 PECOS PAC ID: 0648298299 Enrollment ID: I20051102001046 |
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