Pinnacle Family Medicine Plc | |
14044 W Camelback Rd Ste 204 Litchfield Park AZ 85340-9426 | |
(623) 935-9600 | |
Not Available |
Full Name | Pinnacle Family Medicine Plc |
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Speciality | Family Medicine |
Location | 14044 W Camelback Rd Ste 204, Litchfield Park, Arizona |
Authorized Official Name and Position | David James Engstrom (MEMBER) |
Authorized Official Contact | 6239359600 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pinnacle Family Medicine Plc 14044 W Camelback Rd Ste 204 Litchfield Park AZ 85340-9426 Ph: (623) 935-9600 | Pinnacle Family Medicine Plc 14044 W Camelback Rd Ste 204 Litchfield Park AZ 85340-9426 Ph: (623) 935-9600 |
NPI Number | 1639208325 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 01/03/2018 |
Medicare PECOS PAC ID | 7012015670 |
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Medicare Enrollment ID | O20070605000288 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639208325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kevin M Houlihan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609862697 PECOS PAC ID: 1355358094 Enrollment ID: I20060321000415 |
Provider Name | David J Engstrom |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710058870 PECOS PAC ID: 2365541216 Enrollment ID: I20070619000297 |
Provider Name | Mardi L Davenport |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609182583 PECOS PAC ID: 9739357575 Enrollment ID: I20110721000183 |
Provider Name | Krista Nicole Beasley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518262567 PECOS PAC ID: 9638433386 Enrollment ID: I20180503001991 |
Provider Name | Donna Suzanne Carlson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619636628 PECOS PAC ID: 0840682514 Enrollment ID: I20220110002286 |
Provider Name | Natalie Janel Jackson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740906072 PECOS PAC ID: 6103288360 Enrollment ID: I20230821000382 |
Provider Name | Lourdes Carolyne Pothast |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992574768 PECOS PAC ID: 8527411933 Enrollment ID: I20240131005136 |
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