| Thunderbird Family Medicine Ltd | |
|
8608 N 59th Ave Glendale AZ 85302-5404 | |
| (623) 979-2565 | |
| (623) 979-2463 |
| Full Name | Thunderbird Family Medicine Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 8608 N 59th Ave, Glendale, Arizona |
| Authorized Official Name and Position | Scott Marquard (OWNER) |
| Authorized Official Contact | 6029790309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thunderbird Family Medicine Ltd 8608 N 59th Ave Glendale AZ 85302-5404 Ph: (623) 979-2565 | Thunderbird Family Medicine Ltd 8608 N 59th Ave Glendale AZ 85302-5404 Ph: (623) 979-2565 |
| NPI Number | 1134596174 |
|---|---|
| Provider Enumeration Date | 08/25/2015 |
| Last Update Date | 08/05/2024 |
| Medicare PECOS PAC ID | 2365744265 |
|---|---|
| Medicare Enrollment ID | O20160108002625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134596174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 006374 (Arizona) | Primary |
| Provider Name | Scott C Marquard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225399736 PECOS PAC ID: 5092935197 Enrollment ID: I20141010002423 |
| Provider Name | Aspen Calkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215299946 PECOS PAC ID: 4688967532 Enrollment ID: I20160729000959 |
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