| Ppep Bhs | |
|
201 S. Bingham Avenue Somerton AZ 85350 | |
| (928) 210-7644 | |
| (520) 792-5724 |
| Full Name | Ppep Bhs |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 201 S. Bingham Avenue, Somerton, Arizona |
| Authorized Official Name and Position | John David Arnold (CEO/FOUNDER) |
| Authorized Official Contact | 5206223553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppep Bhs 802 E 46th St Tucson AZ 85713-5006 Ph: (520) 792-5704 | Ppep Bhs 201 S. Bingham Avenue Somerton AZ 85350 Ph: (928) 210-7644 |
| NPI Number | 1972999605 |
|---|---|
| Provider Enumeration Date | 04/09/2015 |
| Last Update Date | 04/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972999605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | OTC6417 (Arizona) | Primary |
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