| |
13460 N 94th Dr H-1 Peoria AZ 85381-4835 | |
(623) 974-4703 | |
(623) 974-4705 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 13460 N 94th Dr, Peoria, Arizona |
Authorized Official Name and Position | Thomas M Moote (DOCTOR) |
Authorized Official Contact | 6239744703 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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13460 N 94th Dr H-1 Peoria AZ 85381-4835 Ph: (623) 974-4703 | 13460 N 94th Dr H-1 Peoria AZ 85381-4835 Ph: (623) 974-4703 |
NPI Number | 1285966242 |
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Provider Enumeration Date | 02/02/2010 |
Last Update Date | 02/02/2010 |
Identifier | Type | State | Issuer |
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1285966242 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 13005 (Arizona) | Primary |
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