| Alexander Dupuis | |
|
212 W Superstition Blvd Ste 101 Apache Junction AZ 85120-4127 | |
| (480) 877-0120 | |
| (888) 498-4092 |
| Full Name | Alexander Dupuis |
|---|---|
| Speciality | Clinic/Center |
| Location | 212 W Superstition Blvd Ste 101, Apache Junction, Arizona |
| Authorized Official Name and Position | Alexander Dupuis (OWNER/ MANAGER) |
| Authorized Official Contact | 4808770120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Dupuis 212 W Superstition Blvd Ste 101 Apache Junction AZ 85120-4127 Ph: (480) 877-0120 | Alexander Dupuis 212 W Superstition Blvd Ste 101 Apache Junction AZ 85120-4127 Ph: (480) 877-0120 |
| NPI Number | 1245798933 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 11/25/2022 |
| Medicare PECOS PAC ID | 6204265192 |
|---|---|
| Medicare Enrollment ID | O20200327001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245798933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Alexander L Dupuis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528537750 PECOS PAC ID: 1153661392 Enrollment ID: I20190325002768 |
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