| Advanced Medical Clinic, Pllc. | |
|
1001 W 16th St Yuma AZ 85364-4547 | |
| (928) 782-0898 | |
| (928) 783-2661 |
| Full Name | Advanced Medical Clinic, Pllc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1001 W 16th St, Yuma, Arizona |
| Authorized Official Name and Position | Loc H Nguyen (MEMBER) |
| Authorized Official Contact | 9287820898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Clinic, Pllc. 1001 W 16th St Yuma AZ 85364-4547 Ph: (928) 782-0898 | Advanced Medical Clinic, Pllc. 1001 W 16th St Yuma AZ 85364-4547 Ph: (928) 782-0898 |
| NPI Number | 1043545825 |
|---|---|
| Provider Enumeration Date | 10/12/2009 |
| Last Update Date | 12/25/2011 |
| Medicare PECOS PAC ID | 1759422975 |
|---|---|
| Medicare Enrollment ID | O20100111000479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043545825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35967 (Arizona) | Primary |
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