| Az Wellness Clinica Familiar Llc | |
|
10645 N 43rd Ave Phoenix AZ 85029-3944 | |
| (602) 370-2920 | |
| Not Available |
| Full Name | Az Wellness Clinica Familiar Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 10645 N 43rd Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Joseph Gutierrez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4804339920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Wellness Clinica Familiar Llc 10645 N 43rd Ave Phoenix AZ 85029-3944 Ph: () - | Az Wellness Clinica Familiar Llc 10645 N 43rd Ave Phoenix AZ 85029-3944 Ph: (602) 370-2920 |
| NPI Number | 1255163382 |
|---|---|
| Provider Enumeration Date | 08/16/2024 |
| Last Update Date | 08/16/2024 |
| Medicare PECOS PAC ID | 0749711331 |
|---|---|
| Medicare Enrollment ID | O20241007003469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255163382 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph Gutierrez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538143300 PECOS PAC ID: 6204806045 Enrollment ID: I20040728001476 |
| Provider Name | Lianet Lantigua Ponce De Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265122584 PECOS PAC ID: 7517312556 Enrollment ID: I20241006000158 |
Richard A. Snider, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 | |
Kelly H. Roy, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 | |
My Family Doctor In The Valley Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Deborah L Dykema Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20045 N 19th Ave Bldg 9-151, Phoenix, AZ 85027 Phone: 602-978-1555 | |
Scottsdale Housecall Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 | |
Wings Of Hope Medical Services, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11022 N 28th Dr Ste 205, Phoenix, AZ 85029 Phone: 602-971-0304 Fax: 602-971-0305 | |
Sheperd Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9150 W Indian School Rd Ste 111b, Phoenix, AZ 85037 Phone: 623-247-2300 Fax: 623-247-1939 |