| Carefirst Wellness Associastes Of Az Llc | |
|
12361 W Bola Dr Ste 109 Surprise AZ 85378-9021 | |
| (623) 227-1000 | |
| Not Available |
| Full Name | Carefirst Wellness Associastes Of Az Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 12361 W Bola Dr Ste 109, Surprise, Arizona |
| Authorized Official Name and Position | Hareshkumar Boghara (OWNER) |
| Authorized Official Contact | 6232271000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carefirst Wellness Associastes Of Az Llc 12361 W Bola Dr Ste 109 Surprise AZ 85378-9021 Ph: (623) 227-1000 | Carefirst Wellness Associastes Of Az Llc 12361 W Bola Dr Ste 109 Surprise AZ 85378-9021 Ph: (623) 227-1000 |
| NPI Number | 1053058172 |
|---|---|
| Provider Enumeration Date | 05/19/2022 |
| Last Update Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053058172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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