| Surprise Family Medicine Plc | |
|
14239 W Bell Rd Ste 225 Surprise AZ 85374-2469 | |
| (623) 544-0101 | |
| (623) 544-0981 |
| Full Name | Surprise Family Medicine Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 14239 W Bell Rd, Surprise, Arizona |
| Authorized Official Name and Position | Steven C Horrocks (MEMBER) |
| Authorized Official Contact | 6235440101 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Surprise Family Medicine Plc Po Box 9311 Belfast ME 04915-9311 Ph: (623) 544-0101 | Surprise Family Medicine Plc 14239 W Bell Rd Ste 225 Surprise AZ 85374-2469 Ph: (623) 544-0101 |
| NPI Number | 1548591886 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 06/23/2010 |
| Medicare PECOS PAC ID | 1456477348 |
|---|---|
| Medicare Enrollment ID | O20100928001659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548591886 | NPI | - | NPPES |
| 507833 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 005062 (Arizona) | Primary |
| Provider Name | Steven Charles Horrocks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932225802 PECOS PAC ID: 2365568250 Enrollment ID: I20100929000066 |
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