| Regent Physicians Of Arizona, Pllc | |
|
1590 Paseo San Luis 101 Sierra Vista AZ 85635-4782 | |
| (520) 220-5711 | |
| (520) 220-5709 |
| Full Name | Regent Physicians Of Arizona, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1590 Paseo San Luis, Sierra Vista, Arizona |
| Authorized Official Name and Position | Leonardo C Serfino (PRESIDENT) |
| Authorized Official Contact | 5202205711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regent Physicians Of Arizona, Pllc 1951 N Wilmot Rd Bldg 1, Ste 2 Tucson AZ 85712-8000 Ph: (520) 722-3777 | Regent Physicians Of Arizona, Pllc 1590 Paseo San Luis 101 Sierra Vista AZ 85635-4782 Ph: (520) 220-5711 |
| NPI Number | 1932469343 |
|---|---|
| Provider Enumeration Date | 05/18/2012 |
| Last Update Date | 05/16/2014 |
| Medicare PECOS PAC ID | 7911154935 |
|---|---|
| Medicare Enrollment ID | O20120827000840 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932469343 | NPI | - | NPPES |
| 736598 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30887 (Arizona) | Primary |
| Provider Name | Leonardo C Serfino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831114743 PECOS PAC ID: 4587704499 Enrollment ID: I20091224000041 |
| Provider Name | Arleene E Djordjevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558750935 PECOS PAC ID: 8921323643 Enrollment ID: I20150220001010 |
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