| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 7810222809 |
|---|---|
| Medicare Enrollment ID | O20200316000792 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558920926 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Smitha Sadiq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962490201 PECOS PAC ID: 4385607506 Enrollment ID: I20041109000648 |
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Michael R Durham MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 E Ash St, Globe, AZ 85501 Phone: 928-425-4467 Fax: 928-425-6166 |
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Horizon Health and Wellness, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 W Baseline Spur, Globe, AZ 85501 Phone: 928-402-9297 Fax: 928-402-9414 |
Palo Verde Family Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 South Broad St., Globe, AZ 85501 Phone: 928-425-6592 Fax: 928-425-7566 |
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