| |
9191 W Thunderbird Rd Suite D105 Peoria AZ 85381-4270 | |
(623) 849-3811 | |
(623) 849-5221 |
Full Name | |
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Speciality | Family Medicine |
Location | 9191 W Thunderbird Rd, Peoria, Arizona |
Authorized Official Name and Position | Savas Petrides (SVP/CEO) |
Authorized Official Contact | 4806964020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2500 W Utopia Rd Suite 100 Phoenix AZ 85027-4172 Ph: (623) 434-6200 | 9191 W Thunderbird Rd Suite D105 Peoria AZ 85381-4270 Ph: (623) 849-3811 |
NPI Number | 1073916938 |
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Provider Enumeration Date | 10/06/2014 |
Last Update Date | 09/17/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073916938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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