| |
11749 W Lone Mountain Pkwy Unit 105 Peoria AZ 85383-6801 | |
(480) 677-8282 | |
(844) 470-2777 |
Full Name | |
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Speciality | Family Medicine |
Location | 11749 W Lone Mountain Pkwy Unit 105, Peoria, Arizona |
Authorized Official Name and Position | Payam Zamani (CEO) |
Authorized Official Contact | 4803052888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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261 N Roosevelt Ave Chandler AZ 85226-2617 Ph: (480) 677-8282 | 11749 W Lone Mountain Pkwy Unit 105 Peoria AZ 85383-6801 Ph: (480) 677-8282 |
NPI Number | 1871318055 |
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Provider Enumeration Date | 11/21/2024 |
Last Update Date | 01/27/2025 |
Identifier | Type | State | Issuer |
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1871318055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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