Stone Med, Llc | |
1327 E Chandler Blvd Ste 106 Phoenix AZ 85048-6272 | |
(480) 501-9475 | |
(480) 306-7674 |
Full Name | Stone Med, Llc |
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Speciality | Internal Medicine |
Location | 1327 E Chandler Blvd Ste 106, Phoenix, Arizona |
Authorized Official Name and Position | Christina Tretter (CO-OWNER) |
Authorized Official Contact | 4805019475 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Stone Med, Llc 1327 E Chandler Blvd Ste 106 Phoenix AZ 85048-6272 Ph: (480) 501-9475 | Stone Med, Llc 1327 E Chandler Blvd Ste 106 Phoenix AZ 85048-6272 Ph: (480) 501-9475 |
NPI Number | 1528556495 |
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Provider Enumeration Date | 04/26/2018 |
Last Update Date | 05/21/2024 |
Medicare PECOS PAC ID | 6507114022 |
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Medicare Enrollment ID | O20180925001635 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528556495 | NPI | - | NPPES |
1073984639 | Other | AZ | ARIZONA |
1346234564 | Other | AZ | ARIZONA |
Provider Name | John R Tretter |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1346234564 PECOS PAC ID: 9638074990 Enrollment ID: I20091012000333 |
Provider Name | David Brandon Stone |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1194954859 PECOS PAC ID: 0446472559 Enrollment ID: I20141105000622 |
Provider Name | Christina Tretter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073984639 PECOS PAC ID: 8022316165 Enrollment ID: I20160406000674 |
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