| Bonneville Med Pc | |
|
5880 S Hospital Dr Globe AZ 85501-9447 | |
| (801) 389-1563 | |
| Not Available |
| Full Name | Bonneville Med Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5880 S Hospital Dr, Globe, Arizona |
| Authorized Official Name and Position | Smitha Sadiq (SOLE MEMBER) |
| Authorized Official Contact | 8013891563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonneville Med Pc 1685 Stone Hollow Ct Bountiful UT 84010-1069 Ph: (801) 389-1563 | Bonneville Med Pc 5880 S Hospital Dr Globe AZ 85501-9447 Ph: (801) 389-1563 |
| NPI Number | 1558920926 |
|---|---|
| Provider Enumeration Date | 06/10/2019 |
| Last Update Date | 06/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558920926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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