Padre Pio Clinic Inc. | |
3700 E Williams Field Rd Apt 2040 Gilbert AZ 85295-7000 | |
(414) 520-3896 | |
Not Available |
Full Name | Padre Pio Clinic Inc. |
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Speciality | Clinic/center - Primary Care |
Location | 3700 E Williams Field Rd Apt 2040, Gilbert, Arizona |
Authorized Official Name and Position | Dana Rodriguez (MEDICAL DIRECTOR) |
Authorized Official Contact | 4145203896 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Padre Pio Clinic Inc. 3700 E Williams Field Rd Apt 2040 Gilbert AZ 85295-7000 Ph: (414) 520-3896 | Padre Pio Clinic Inc. 3700 E Williams Field Rd Apt 2040 Gilbert AZ 85295-7000 Ph: (414) 520-3896 |
NPI Number | 1407109093 |
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Provider Enumeration Date | 10/19/2012 |
Last Update Date | 09/29/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407109093 | NPI | - | NPPES |
34152600 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 43966-020 (Wisconsin) | Primary |
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