Pure Healthcare Of Arizona Llc | |
1760 E Pecos Rd Ste 301 Gilbert AZ 85295-3203 | |
(855) 550-3358 | |
Not Available |
Full Name | Pure Healthcare Of Arizona Llc |
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Speciality | Clinic/Center |
Location | 1760 E Pecos Rd Ste 301, Gilbert, Arizona |
Authorized Official Name and Position | Joshua Tandy (DIRECTOR) |
Authorized Official Contact | 8017870731 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pure Healthcare Of Arizona Llc 4179 S Riverboat Rd Ste 220 Taylorsville UT 84123-2986 Ph: (855) 550-3358 | Pure Healthcare Of Arizona Llc 1760 E Pecos Rd Ste 301 Gilbert AZ 85295-3203 Ph: (855) 550-3358 |
NPI Number | 1619649076 |
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Provider Enumeration Date | 10/04/2021 |
Last Update Date | 02/08/2024 |
Medicare PECOS PAC ID | 0042602377 |
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Medicare Enrollment ID | O20220119001422 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619649076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Jonathan M Baugh |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1578882759 PECOS PAC ID: 0244475333 Enrollment ID: I20140723002567 |
Provider Name | Horng-chyi R Lai |
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Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1528385598 PECOS PAC ID: 9133437817 Enrollment ID: I20220412001628 |
Provider Name | Robert K Mannel |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1093073181 PECOS PAC ID: 1658683073 Enrollment ID: I20240328002035 |
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