Dr Robin Broz, DO | |
5880 S Hospital Dr, Globe, AZ 85501-9447 | |
(928) 425-3859 | |
Not Available |
Full Name | Dr Robin Broz |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 5880 S Hospital Dr, Globe, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053473421 | NPI | - | NPPES |
1053473421 | Other | SD | WELLMARK |
864480 | Other | AZ | AHCCCS |
6702500 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 1209 (South Dakota) | Secondary |
208000000X | Pediatrics | 4074 (Arizona) | Primary |
Entity Name | Cobre Valley Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871566521 PECOS PAC ID: 0648181693 Enrollment ID: O20040312001228 |
Mailing Address | Practice Location Address |
---|---|
Dr Robin Broz, DO 8801 W Union Hills Dr, Peoria, AZ 85382-8189 Ph: (623) 241-9026 | Dr Robin Broz, DO 5880 S Hospital Dr, Globe, AZ 85501-9447 Ph: (928) 425-3859 |
Angela C Jimenez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5880 S Hospital Dr, Globe, AZ 85501 Phone: 928-425-3261 Fax: 928-425-3859 | |
Mahmoud M Omari, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5882 S Hospital Dr, Suite 4, Globe, AZ 85501 Phone: 928-425-0688 Fax: 928-425-0689 |