| Papago Medical, Pc | |
|
1729 Paseo San Luis Sierra Vista AZ 85635-4611 | |
| (520) 459-0144 | |
| (520) 459-8541 |
| Full Name | Papago Medical, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1729 Paseo San Luis, Sierra Vista, Arizona |
| Authorized Official Name and Position | David Michael Brown (SOLE PROPRIETOR) |
| Authorized Official Contact | 5204590144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Papago Medical, Pc 1729 Paseo San Luis Sierra Vista AZ 85635-4611 Ph: (520) 459-0144 | Papago Medical, Pc 1729 Paseo San Luis Sierra Vista AZ 85635-4611 Ph: (520) 459-0144 |
| NPI Number | 1710025051 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710025051 | NPI | - | NPPES |
| 119562 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21105 (Arizona) | Primary |
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