Tamar K Gottfried Md, Plc | |
1520 S Dobson Rd Suite 316 Mesa AZ 85202-4725 | |
(480) 545-0059 | |
(480) 632-2134 |
Full Name | Tamar K Gottfried Md, Plc |
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Speciality | Clinic/Center |
Location | 1520 S Dobson Rd, Mesa, Arizona |
Authorized Official Name and Position | Veronica Cantua (OFFICE MANAGER) |
Authorized Official Contact | 4805450059 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tamar K Gottfried Md, Plc 1520 S Dobson Rd Suite 316 Mesa AZ 85202-4725 Ph: (480) 545-0059 | Tamar K Gottfried Md, Plc 1520 S Dobson Rd Suite 316 Mesa AZ 85202-4725 Ph: (480) 545-0059 |
NPI Number | 1730462235 |
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Provider Enumeration Date | 09/21/2011 |
Last Update Date | 11/05/2024 |
Medicare PECOS PAC ID | 7113145665 |
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Medicare Enrollment ID | O20140826001341 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730462235 | NPI | - | NPPES |
566058 | Medicaid | AZ | |
422650 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 26354 (Arizona) | Primary |
Provider Name | Tamar K Gottfried |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1134193873 PECOS PAC ID: 7416944970 Enrollment ID: I20040427000980 |
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