| Advanced Care Internal Medicine, Pllc | |
|
485 S Dobson Rd Suite 106 Chandler AZ 85224-5602 | |
| (480) 629-5113 | |
| (480) 821-2309 |
| Full Name | Advanced Care Internal Medicine, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 485 S Dobson Rd, Chandler, Arizona |
| Authorized Official Name and Position | Jianwen Wu (PRESIDENT) |
| Authorized Official Contact | 4806295113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Care Internal Medicine, Pllc Po Box 2106 Chandler AZ 85244-2106 Ph: (480) 629-5113 | Advanced Care Internal Medicine, Pllc 485 S Dobson Rd Suite 106 Chandler AZ 85224-5602 Ph: (480) 629-5113 |
| NPI Number | 1578744413 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 03/10/2008 |
| Medicare PECOS PAC ID | 1850473729 |
|---|---|
| Medicare Enrollment ID | O20080131000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578744413 | NPI | - | NPPES |
| 074612 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35127 (Arizona) | Primary |
| Provider Name | Jianwen Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154381218 PECOS PAC ID: 8325080013 Enrollment ID: I20060404000167 |
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