| Studio 48 Med Spa | |
|
15215 S. 48th St. Suite 156 Phoenix AZ 85044 | |
| (480) 420-8306 | |
| (833) 881-9193 |
| Full Name | Studio 48 Med Spa |
|---|---|
| Speciality | Family Medicine |
| Location | 15215 S. 48th St. Suite 156, Phoenix, Arizona |
| Authorized Official Name and Position | Jennifer Andres (LEAD BILLER) |
| Authorized Official Contact | 4805001248 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Studio 48 Med Spa 15215 S. 48th St. Suite 156 Phoenix AZ 85044 Ph: (480) 704-8818 | Studio 48 Med Spa 15215 S. 48th St. Suite 156 Phoenix AZ 85044 Ph: (480) 420-8306 |
| NPI Number | 1437813904 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 01/28/2022 |
| Medicare PECOS PAC ID | 4587051172 |
|---|---|
| Medicare Enrollment ID | O20220429000320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437813904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Edward Kozar |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770718520 PECOS PAC ID: 9537330170 Enrollment ID: I20110912000620 |
| Provider Name | Angela Mae Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750640454 PECOS PAC ID: 5991018640 Enrollment ID: I20150723008638 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
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