<unavail> in Peoria, AZ - Clinic/Center

is a primary clinic (Clinic/center) in Peoria, Arizona. The current practice location for is 14100 North 83rd Avenue, Suites 100 And 150, Peoria, Arizona. For appointments, you can reach them via phone at (623) 583-3023. The mailing address for is 924 N Country Club Dr, Mesa, Arizona and phone number is (480) 969-3800.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1831941962. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (623) 583-3023.

Contact Information


	14100 North 83rd Avenue Suites 100 And 150 Peoria AZ 85381
	(623) 583-3023
	(623) 583-1830

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/center
Location	14100 North 83rd Avenue, Peoria, Arizona
Authorized Official Name and Position	Latrice Shannon Hickman (CHIEF RISK AND COMPLIANCE OFFICER)
Authorized Official Contact	4804319008
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
924 N Country Club Dr Mesa AZ 85201-4108 Ph: (480) 969-3800	14100 North 83rd Avenue Suites 100 And 150 Peoria AZ 85381 Ph: (623) 583-3023

NPI Details:

NPI Number	1831941962
Provider Enumeration Date	04/02/2024
Last Update Date	04/09/2024

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831941962	NPI	-	NPPES
BH3400	Other	AZ	ARIZONA DEPARTMENT OF HEALTH SERVICES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	(* (Not Available))	Primary

Reviews and Comments

Clinic/Center in Peoria, AZ

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- Primary Care in Peoria, AZ