| Anthony V Indovina, DO | |
|
6678 W Thunderbird Rd, Glendale, AZ 85306-3721 | |
| (602) 678-1500 | |
| (602) 978-0409 |
| Full Name | Anthony V Indovina |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 6678 W Thunderbird Rd, Glendale, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851373005 | NPI | - | NPPES |
| 3199666 | Medicaid | MI | |
| 3263130 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 5101010720 (Michigan) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 005715 (Arizona) | Primary |
| Entity Name | Adelante Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083772545 PECOS PAC ID: 4688588643 Enrollment ID: O20031114000335 |
| Entity Name | Desert West Obstetrics & Gynecology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588654560 PECOS PAC ID: 3375529100 Enrollment ID: O20040624000730 |
| Entity Name | Genesis Ob Gyn Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992994214 PECOS PAC ID: 4284724279 Enrollment ID: O20071213000739 |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony V Indovina, DO 6678 W Thunderbird Rd, Glendale, AZ 85306-3721 Ph: (602) 678-1500 | Anthony V Indovina, DO 6678 W Thunderbird Rd, Glendale, AZ 85306-3721 Ph: (602) 678-1500 |
Dr. Elizabeth V Mahour-moyer, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-978-1500 Fax: 602-978-0409 | |
Mrs. Amy Blanshard Boots, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-678-1500 Fax: 602-978-0409 | |
Emily Caroline Fanning, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 026-978-1500 Fax: 602-978-0409 | |
Bradley John Folkestad, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 18699 N 67th Ave, Ste 320, Glendale, AZ 85308 Phone: 623-561-7250 Fax: 623-561-0098 | |
Dr. Kelly Ann Goad, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 6678 W Thunderbird Rd, Glendale, AZ 85306 Phone: 602-978-1500 Fax: 602-978-0409 | |
Ole Borch-christensen, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 5601 W Eugie Ave, Ste 100, Glendale, AZ 85304 Phone: 602-978-1500 Fax: 602-978-0409 | |
Hillary H. Charles, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5757 W. Thunderbird Road, Suite W-202, Glendale, AZ 85306 Phone: 602-678-1111 Fax: 602-678-7090 |