West Allis Primary Care Physicians, S.c. | |
2424 S 90th St #302 West Allis WI 53227-2455 | |
(414) 328-8747 | |
(414) 328-8676 |
Full Name | West Allis Primary Care Physicians, S.c. |
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Speciality | Internal Medicine |
Location | 2424 S 90th St, West Allis, Wisconsin |
Authorized Official Name and Position | Sandra C. Torres (ADMINISTRATOR) |
Authorized Official Contact | 4143288781 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West Allis Primary Care Physicians, S.c. 2424 S 90th St #302 West Allis WI 53227-2455 Ph: (414) 328-8747 | West Allis Primary Care Physicians, S.c. 2424 S 90th St #302 West Allis WI 53227-2455 Ph: (414) 328-8747 |
NPI Number | 1225081821 |
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Provider Enumeration Date | 05/18/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 5991799587 |
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Medicare Enrollment ID | O20040414001609 |
Identifier | Type | State | Issuer |
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1225081821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Roger V Torres |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326091117 PECOS PAC ID: 0143215731 Enrollment ID: I20061004000671 |
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