| Sun Valley Geriatrics Pllc | |
|
8194 W Deer Valley Rd Ste 106-224 Peoria AZ 85382-2127 | |
| (623) 273-2668 | |
| (623) 265-6171 |
| Full Name | Sun Valley Geriatrics Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8194 W Deer Valley Rd Ste 106-224, Peoria, Arizona |
| Authorized Official Name and Position | Matthew D Skinner (MANAGING MEMBER) |
| Authorized Official Contact | 6232732668 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sun Valley Geriatrics Pllc 8194 W Deer Valley Rd Ste 106-224 Peoria AZ 85382-2127 Ph: (623) 273-2668 | Sun Valley Geriatrics Pllc 8194 W Deer Valley Rd Ste 106-224 Peoria AZ 85382-2127 Ph: (623) 273-2668 |
| NPI Number | 1164290219 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Medicare PECOS PAC ID | 0244683290 |
|---|---|
| Medicare Enrollment ID | O20240126000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164290219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew D Skinner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396070819 PECOS PAC ID: 0749437994 Enrollment ID: I20120823000592 |
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