Dr Anwar M Vardag, MD | |
1200 N Beaver St, Flagstaff, AZ 86001-3118 | |
(928) 773-2112 | |
Not Available |
Full Name | Dr Anwar M Vardag |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Critical Care Medicine |
Location | 1200 N Beaver St, Flagstaff, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679963839 | NPI | - | NPPES |
3704441000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 77460 (Arizona) | Primary |
2080P0203X | Pediatrics - Pediatric Critical Care Medicine | 0061792 (Florida) | Secondary |
Entity Name | Guam Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366519027 PECOS PAC ID: 5890781694 Enrollment ID: O20040426000038 |
Mailing Address | Practice Location Address |
---|---|
Dr Anwar M Vardag, MD 6156 Nw 31st Ave, Boca Raton, FL 33496-3374 Ph: (561) 488-8368 | Dr Anwar M Vardag, MD 1200 N Beaver St, Flagstaff, AZ 86001-3118 Ph: (928) 773-2112 |
Dr. Sean Daniel Woods, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2112 | |
James Wallace Mathewson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 N Rim Dr, Suite A, Flagstaff, AZ 86001 Phone: 928-779-7014 | |
Barbara L. Bosch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001 Phone: 928-214-3600 Fax: 928-214-3601 | |
Lee B Mcgarey, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001 Phone: 928-214-3600 Fax: 928-214-3601 | |
Jennifer C Peterson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 N Beaver St, Flagstaff, AZ 86001 Phone: 928-213-6235 | |
Mark F Carroll, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1215 N Beaver St, Suite 201, Flagstaff, AZ 86001 Phone: 928-214-3920 Fax: 928-214-3924 | |
Dr. Julia Beth Eskuchen, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6100 Fax: 928-213-9351 |