| Tanner Thomas Mcclure, DO | |
|
1325 N Litchfield Rd Ste 125, Goodyear, AZ 85395-1215 | |
| (480) 558-3744 | |
| (480) 558-3801 |
| Full Name | Tanner Thomas Mcclure |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1325 N Litchfield Rd Ste 125, Goodyear, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821599036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 011138 (Arizona) | Primary |
| 207X00000X | Orthopaedic Surgery | DO01240 (Rhode Island) | Secondary |
| Entity Name | Orthopedics Rhode Island Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407231293 PECOS PAC ID: 7012225907 Enrollment ID: O20150925001150 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanner Thomas Mcclure, DO 9701 Bay Hill Dr, Lone Tree, CO 80124-3182 Ph: () - | Tanner Thomas Mcclure, DO 1325 N Litchfield Rd Ste 125, Goodyear, AZ 85395-1215 Ph: (480) 558-3744 |
Ammer Mountasir Dbeis, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1800 N Civic Sq Ste 320, Goodyear, AZ 85395 Phone: 623-465-6506 | |
Nathan Thomas Moore, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 140 N Litchfield Rd Ste 110, Goodyear, AZ 85338 Phone: 602-256-2525 Fax: 602-256-0795 | |
Michelle Son, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1325 N Litchfield Rd, Goodyear, AZ 85395 Phone: 480-420-0749 | |
Rachel Prigge, CSA Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 13677 W Mcdowell Rd, Goodyear, AZ 85395 Phone: 623-882-1500 | |
Eduardo Salazar, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1325 N Litchfield Rd, Goodyear, AZ 85395 Phone: 623-242-1231 | |
Vibhatsu Jignesh Amin, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1800 N Civic Sq Ste 320, Goodyear, AZ 85395 Phone: 520-694-5437 Fax: 520-874-7070 |