Westside Internal Medicine Group Pllc | |
395 N Silverbell Rd Ste 107 Tucson AZ 85745-2718 | |
(520) 884-0752 | |
(520) 622-9845 |
Full Name | Westside Internal Medicine Group Pllc |
---|---|
Speciality | Clinic/Center |
Location | 395 N Silverbell Rd Ste 107, Tucson, Arizona |
Authorized Official Name and Position | Stanley Ofori (MEDICAL DIRECTOR) |
Authorized Official Contact | 5209071055 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Westside Internal Medicine Group Pllc 7474 N Cobblestone Rd Tucson AZ 85718-1307 Ph: (520) 907-1055 | Westside Internal Medicine Group Pllc 395 N Silverbell Rd Ste 107 Tucson AZ 85745-2718 Ph: (520) 884-0752 |
NPI Number | 1669775789 |
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Provider Enumeration Date | 12/10/2010 |
Last Update Date | 11/06/2022 |
Medicare PECOS PAC ID | 2466633524 |
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Medicare Enrollment ID | O20110222000977 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669775789 | NPI | - | NPPES |
957417 | Medicaid | AZ | |
1093793648 | Other | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Stanley Ofori |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1093793648 PECOS PAC ID: 9931124021 Enrollment ID: I20051007000507 |
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