| Valley Of The Sun Medical Care Pc | |
|
9917 E Bell Rd Ste 130 Scottsdale AZ 85260-2398 | |
| (480) 473-8866 | |
| (480) 473-8875 |
| Full Name | Valley Of The Sun Medical Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9917 E Bell Rd Ste 130, Scottsdale, Arizona |
| Authorized Official Name and Position | Dora E White (OWNER) |
| Authorized Official Contact | 4804738866 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Of The Sun Medical Care Pc 9917 E Bell Rd Ste 130 Scottsdale AZ 85260-2398 Ph: (480) 473-8866 | Valley Of The Sun Medical Care Pc 9917 E Bell Rd Ste 130 Scottsdale AZ 85260-2398 Ph: (480) 473-8866 |
| NPI Number | 1518063742 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 09/03/2021 |
| Medicare PECOS PAC ID | 3274539382 |
|---|---|
| Medicare Enrollment ID | O20061012000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518063742 | NPI | - | NPPES |
| 224171 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10194 (Arizona) | Primary |
| Provider Name | Dora E White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073502142 PECOS PAC ID: 7810980604 Enrollment ID: I20061016000071 |
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