| Palo Verde Family Medicine Pllc | |
|
7615 W Thunderbird Rd Ste 106 Peoria AZ 85381-6083 | |
| (623) 878-5800 | |
| (623) 878-5807 |
| Full Name | Palo Verde Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 7615 W Thunderbird Rd, Peoria, Arizona |
| Authorized Official Name and Position | Darryl L Montgomery (MEMBER) |
| Authorized Official Contact | 6238785800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palo Verde Family Medicine Pllc Po Box 4196 Belfast ME 04915-4100 Ph: (623) 878-5800 | Palo Verde Family Medicine Pllc 7615 W Thunderbird Rd Ste 106 Peoria AZ 85381-6083 Ph: (623) 878-5800 |
| NPI Number | 1417222969 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 11/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417222969 | NPI | - | NPPES |
| 696933 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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