| Van Buren Medicine, Llc | |
|
320 N 32nd Ave Phoenix AZ 85009-4220 | |
| (602) 278-1351 | |
| (602) 278-4057 |
| Full Name | Van Buren Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 320 N 32nd Ave, Phoenix, Arizona |
| Authorized Official Name and Position | John M Belden (OWNER) |
| Authorized Official Contact | 6022781351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Buren Medicine, Llc 320 N 32nd Ave Phoenix AZ 85009-4220 Ph: (602) 278-1351 | Van Buren Medicine, Llc 320 N 32nd Ave Phoenix AZ 85009-4220 Ph: (602) 278-1351 |
| NPI Number | 1912162850 |
|---|---|
| Provider Enumeration Date | 07/21/2008 |
| Last Update Date | 07/21/2008 |
| Medicare PECOS PAC ID | 7719241769 |
|---|---|
| Medicare Enrollment ID | O20180430000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912162850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1645 (Arizona) | Primary |
| Provider Name | John M Belden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457331530 PECOS PAC ID: 8022036573 Enrollment ID: I20130626000723 |
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