| Arizona Medical Institute | |
|
3050 N Litchfield Rd Suite 130 Goodyear AZ 85395-7804 | |
| (623) 536-7600 | |
| (623) 536-7828 |
| Full Name | Arizona Medical Institute |
|---|---|
| Speciality | Internal Medicine |
| Location | 3050 N Litchfield Rd, Goodyear, Arizona |
| Authorized Official Name and Position | Vicente Diaz-gonzalez (OWNER AND PHYSICIAN) |
| Authorized Official Contact | 6235367600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Medical Institute 14175 W Indian School Rd Suite B4 605 Goodyear AZ 85395-8369 Ph: (623) 536-7600 | Arizona Medical Institute 3050 N Litchfield Rd Suite 130 Goodyear AZ 85395-7804 Ph: (623) 536-7600 |
| NPI Number | 1710102272 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 11/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710102272 | NPI | - | NPPES |
| 332069 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 31532 (Arizona) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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