| Tri-city Gastroenterology Plc | |
|
5350 Distinction Way Prescott AZ 86301-8418 | |
| (928) 445-4066 | |
| Not Available |
| Full Name | Tri-city Gastroenterology Plc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 5350 Distinction Way, Prescott, Arizona |
| Authorized Official Name and Position | Ching Angela Wang (MEDICAL DOCTOR) |
| Authorized Official Contact | 9284454066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-city Gastroenterology Plc Po Box 30444 Flagstaff AZ 86003-0444 Ph: (928) 266-0118 | Tri-city Gastroenterology Plc 5350 Distinction Way Prescott AZ 86301-8418 Ph: (928) 445-4066 |
| NPI Number | 1598229593 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 08/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598229593 | NPI | - | NPPES |
| 0732200 | Other | AZ | BCBS |
| 769789 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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