Munderloh Medical Llc is a
General Practice based in Flagstaff, Arizona. Munderloh Medical Llc is licensed to practice in Arizona (license number 005517) and their current practice location is
1501 S Yale St, 250, Flagstaff, Arizona. It can be reached at their office (for appointments etc.) via phone at
(928) 556-0707.
NPI number for Munderloh Medical Llc is 1578910295 and their current mailing address is 1501 S Yale St, 250, Flagstaff, Arizona. Munderloh Medical Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1578910295.
Healthcare Provider's Profile
| Full Name | Munderloh Medical Llc |
|---|
| Type | Facility |
|---|
| Speciality | General Practice |
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| Location | 1501 S Yale St, Flagstaff, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578910295
- Provider Enumeration Date: 05/23/2016
- Last Update Date: 05/23/2016
Medical Identifiers
Medical identifiers for Munderloh Medical Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1578910295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111NN0400X | Chiropractor - Neurology | 5935 (Arizona) | Secondary |
| 208D00000X | General Practice | 005517 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Munderloh Medical Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Munderloh Medical Llc 1501 S Yale St, 250, Flagstaff, AZ 86001-7304 Ph: (928) 556-0707 | Munderloh Medical Llc 1501 S Yale St, 250, Flagstaff, AZ 86001-7304 Ph: (928) 556-0707 |
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