| The Ben-asher Clinic | |
|
2001 W Orange Grove Rd Ste 416 Tucson AZ 85704-1141 | |
| (520) 888-3032 | |
| (800) 330-0592 |
| Full Name | The Ben-asher Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2001 W Orange Grove Rd Ste 416, Tucson, Arizona |
| Authorized Official Name and Position | Kimberly E Dyer (PRESIDENT) |
| Authorized Official Contact | 5202039547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Ben-asher Clinic 11200 S Sierrita Mountain Rd Box #146 Tucson AZ 85736-1434 Ph: (520) 888-3032 | The Ben-asher Clinic 2001 W Orange Grove Rd Ste 416 Tucson AZ 85704-1141 Ph: (520) 888-3032 |
| NPI Number | 1235504838 |
|---|---|
| Provider Enumeration Date | 12/08/2015 |
| Last Update Date | 11/07/2020 |
| Medicare PECOS PAC ID | 2365747326 |
|---|---|
| Medicare Enrollment ID | O20160229002540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235504838 | NPI | - | NPPES |
| 100622 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Kimberly E Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255690483 PECOS PAC ID: 0941439392 Enrollment ID: I20140204001612 |
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