<unavail> in Surprise, AZ - General Practice

is a primary clinic (General Practice) in Surprise, Arizona. The current practice location for is 12361 W Bola Dr Ste 100, Surprise, Arizona. For appointments, you can reach them via phone at (602) 675-9005. The mailing address for is Po Box 41638, Phoenix, Arizona and phone number is (602) 675-9005.

is licensed to practice in * (Not Available) (license number ) and its NPI number is 1174160329. 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 (602) 675-9005.

Contact Information


	12361 W Bola Dr Ste 100 Surprise AZ 85378-9021
	(602) 675-9005
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	General Practice
Location	12361 W Bola Dr Ste 100, Surprise, Arizona
Authorized Official Name and Position	Timothy Cozatt (CFO)
Authorized Official Contact	6026759005
Accepts Medicare Insurance	This clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Po Box 41638 Phoenix AZ 85080-1638 Ph: (602) 675-9005	12361 W Bola Dr Ste 100 Surprise AZ 85378-9021 Ph: (602) 675-9005

NPI Details:

NPI Number	1174160329
Provider Enumeration Date	12/06/2019
Last Update Date	11/25/2020

Medical Identifiers

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

Identifier	Type	State	Issuer
1174160329	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	(* (Not Available))	Secondary
207RG0100X	Internal Medicine - Gastroenterology	(* (Not Available))	Secondary
208D00000X	General Practice	(* (Not Available))	Primary

Reviews and Comments

General Practice in Surprise, AZ

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Nha T Lien Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14674 W Mountain View Blvd, Ste 200, Surprise, AZ 85374 Phone: 909-239-4700
Carefirst Wellness Associates Of Az Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12361 W Bola Dr Ste 109, Surprise, AZ 85378 Phone: 623-227-1000

- Primary Care in Surprise, AZ