| Centerwell Senior Primary Care-golden Hills | |
|
6952 E Broadway Rd Mesa AZ 85208-1974 | |
| (480) 325-0905 | |
| (480) 325-6661 |
| Full Name | Centerwell Senior Primary Care-golden Hills |
|---|---|
| Speciality | Internal Medicine |
| Location | 6952 E Broadway Rd, Mesa, Arizona |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerwell Senior Primary Care-golden Hills 6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | Centerwell Senior Primary Care-golden Hills 6952 E Broadway Rd Mesa AZ 85208-1974 Ph: (480) 325-0905 |
| NPI Number | 1538914429 |
|---|---|
| Provider Enumeration Date | 04/23/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538914429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 207R00000X | Internal Medicine | () | Primary |
| 208D00000X | General Practice | () | Secondary |
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