| Arizona Center for Internal Medicine | |
|
6315 E Main St Ste 4 Mesa AZ 85205-8953 | |
| (480) 830-4164 | |
| (480) 830-5009 |
| Full Name | Arizona Center for Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 6315 E Main St, Mesa, Arizona |
| Authorized Official Name and Position | Richard Francis Fowler (PRESIDENT) |
| Authorized Official Contact | 4808304164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Center for Internal Medicine 6315 E Main St Ste 4 Mesa AZ 85205-8953 Ph: (480) 830-4164 | Arizona Center for Internal Medicine 6315 E Main St Ste 4 Mesa AZ 85205-8953 Ph: (480) 830-4164 |
| NPI Number | 1508030693 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508030693 | NPI | - | NPPES |
| 110123001 | Other | AZ | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 16349 (Arizona) | Primary |
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