Primary Care Physicians Group | |
5100 E Rancho Paloma Dr Unit 2040 Cave Creek AZ 85331-5189 | |
(480) 233-0090 | |
Not Available |
Full Name | Primary Care Physicians Group |
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Speciality | Family Medicine |
Location | 5100 E Rancho Paloma Dr Unit 2040, Cave Creek, Arizona |
Authorized Official Name and Position | Kenneth Kearns (OWNER) |
Authorized Official Contact | 4802330090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primary Care Physicians Group 5100 E Rancho Paloma Dr Unit 2040 Cave Creek AZ 85331-5189 Ph: (480) 233-0090 | Primary Care Physicians Group 5100 E Rancho Paloma Dr Unit 2040 Cave Creek AZ 85331-5189 Ph: (480) 233-0090 |
NPI Number | 1558149377 |
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Provider Enumeration Date | 09/21/2023 |
Last Update Date | 09/21/2023 |
Medicare PECOS PAC ID | 3678922952 |
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Medicare Enrollment ID | O20231212002325 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558149377 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Kenneth Kearns |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1598148223 PECOS PAC ID: 8628381324 Enrollment ID: I20150724010252 |
Provider Name | Socorro Gabriela Montes |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1568705952 PECOS PAC ID: 0941501597 Enrollment ID: I20200106003090 |
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