| Arizona Ally Medical Pllc | |
|
4326 E Saint John Rd Phoenix AZ 85032-2285 | |
| (801) 822-4516 | |
| Not Available |
| Full Name | Arizona Ally Medical Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4326 E Saint John Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Melissa Zuber (OWNER) |
| Authorized Official Contact | 4803787607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Ally Medical Pllc 1801 E Camelback Rd Ste 102 Phoenix AZ 85016-4165 Ph: (480) 378-6707 | Arizona Ally Medical Pllc 4326 E Saint John Rd Phoenix AZ 85032-2285 Ph: (801) 822-4516 |
| NPI Number | 1003695206 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 09/26/2023 |
| Medicare PECOS PAC ID | 1355798265 |
|---|---|
| Medicare Enrollment ID | O20231115001463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003695206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Melissa Zuber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174264295 PECOS PAC ID: 7719365261 Enrollment ID: I20220613000390 |
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