| T-bird Family & Industrial Physicians, P.c. | |
|
14045 N 7th St Suite #1 Phoenix AZ 85022-4388 | |
| (602) 866-0961 | |
| (602) 866-9820 |
| Full Name | T-bird Family & Industrial Physicians, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 14045 N 7th St, Phoenix, Arizona |
| Authorized Official Name and Position | Pegi Engle (OFFICE MANAGER) |
| Authorized Official Contact | 6028660961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T-bird Family & Industrial Physicians, P.c. 14045 N. 7th St. Suite #1 Phoenix AZ 85022-4387 Ph: (602) 866-0961 | T-bird Family & Industrial Physicians, P.c. 14045 N 7th St Suite #1 Phoenix AZ 85022-4388 Ph: (602) 866-0961 |
| NPI Number | 1649417817 |
|---|---|
| Provider Enumeration Date | 01/09/2009 |
| Last Update Date | 05/11/2023 |
| Medicare PECOS PAC ID | 9032274683 |
|---|---|
| Medicare Enrollment ID | O20090213000212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649417817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2019 (Arizona) | Primary |
| Provider Name | Gary L Reed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902860919 PECOS PAC ID: 8921023912 Enrollment ID: I20051010000060 |
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