Tatum Ridge Internal Medicine Plc | |
18404 N Tatum Blvd Ste 205 Phoenix AZ 85032-1509 | |
(602) 971-5500 | |
(602) 944-0504 |
Full Name | Tatum Ridge Internal Medicine Plc |
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Speciality | Internal Medicine |
Location | 18404 N Tatum Blvd, Phoenix, Arizona |
Authorized Official Name and Position | David Lawrence Elliot (PHYSICIAN PARTNER) |
Authorized Official Contact | 6029715500 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Tatum Ridge Internal Medicine Plc 18404 N Tatum Blvd Ste 205 Phoenix AZ 85032-1509 Ph: (602) 971-5500 | Tatum Ridge Internal Medicine Plc 18404 N Tatum Blvd Ste 205 Phoenix AZ 85032-1509 Ph: (602) 971-5500 |
NPI Number | 1083622997 |
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Provider Enumeration Date | 08/04/2006 |
Last Update Date | 03/30/2011 |
Medicare PECOS PAC ID | 6901890821 |
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Medicare Enrollment ID | O20040413001423 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083622997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Chi Q Duong |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1285642108 PECOS PAC ID: 4587658307 Enrollment ID: I20091021000534 |
Provider Name | Brian K Jorgensen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1730197658 PECOS PAC ID: 9234123050 Enrollment ID: I20100325000182 |
Provider Name | David L Elliott |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194733006 PECOS PAC ID: 0244224061 Enrollment ID: I20100325000625 |
Provider Name | Lawrence P Gassner |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1558379461 PECOS PAC ID: 4688668403 Enrollment ID: I20100325000647 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
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