Peoria Physician Group | |
13760 N 93rd Ave Ste 105 Peoria AZ 85381-4260 | |
(480) 809-6589 | |
Not Available |
Full Name | Peoria Physician Group |
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Speciality | General Practice |
Location | 13760 N 93rd Ave Ste 105, Peoria, Arizona |
Authorized Official Name and Position | Jeremiah Faber (CEO) |
Authorized Official Contact | 4802583635 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peoria Physician Group Po Box 964 Gilbert AZ 85299-0964 Ph: (480) 366-4489 | Peoria Physician Group 13760 N 93rd Ave Ste 105 Peoria AZ 85381-4260 Ph: (480) 809-6589 |
NPI Number | 1124649637 |
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Provider Enumeration Date | 05/06/2020 |
Last Update Date | 05/06/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124649637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
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