| Scottsdale Health And Wellness Pc | |
|
8630 E Via De Ventura Ste 105 Scottsdale AZ 85258-3340 | |
| (480) 889-1838 | |
| (480) 889-1917 |
| Full Name | Scottsdale Health And Wellness Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 8630 E Via De Ventura Ste 105, Scottsdale, Arizona |
| Authorized Official Name and Position | Erik Jacob Dean (DOCTOR) |
| Authorized Official Contact | 4808891838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottsdale Health And Wellness Pc 8630 E Via De Ventura Ste 105 Scottsdale AZ 85258-3340 Ph: (480) 889-1838 | Scottsdale Health And Wellness Pc 8630 E Via De Ventura Ste 105 Scottsdale AZ 85258-3340 Ph: (480) 889-1838 |
| NPI Number | 1912903527 |
|---|---|
| Provider Enumeration Date | 06/28/2005 |
| Last Update Date | 01/14/2021 |
| Medicare PECOS PAC ID | 3779563739 |
|---|---|
| Medicare Enrollment ID | O20040721001206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912903527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3846 (Arizona) | Primary |
| Provider Name | Erik J Dean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700883998 PECOS PAC ID: 5193629293 Enrollment ID: I20031120000822 |
| Provider Name | Destin Edward Hill |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1609073865 PECOS PAC ID: 7113064528 Enrollment ID: I20091016000236 |
| Provider Name | Stacey Louise Dault |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760775357 PECOS PAC ID: 1759503980 Enrollment ID: I20160115000512 |
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