| Compass Medical Center Safford Pllc | |
|
1765 S 20th Ave Safford AZ 85546-4012 | |
| (928) 536-5525 | |
| Not Available |
| Full Name | Compass Medical Center Safford Pllc |
|---|---|
| Speciality | General Practice |
| Location | 1765 S 20th Ave, Safford, Arizona |
| Authorized Official Name and Position | Justin Woodside (OWNER) |
| Authorized Official Contact | 9285365525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compass Medical Center Safford Pllc 1765 S 20th Ave Safford AZ 85546-4012 Ph: (928) 536-5525 | Compass Medical Center Safford Pllc 1765 S 20th Ave Safford AZ 85546-4012 Ph: (928) 536-5525 |
| NPI Number | 1114481876 |
|---|---|
| Provider Enumeration Date | 01/28/2019 |
| Last Update Date | 01/28/2019 |
| Medicare PECOS PAC ID | 7012257892 |
|---|---|
| Medicare Enrollment ID | O20190313002105 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114481876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Lanny C Crockett |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780644195 PECOS PAC ID: 3072415116 Enrollment ID: I20040121000324 |
| Provider Name | Larry D Davis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1598813131 PECOS PAC ID: 8921172784 Enrollment ID: I20080729000181 |
| Provider Name | Robyn Lee Ann Purdum |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366640724 PECOS PAC ID: 2769417294 Enrollment ID: I20130422000033 |
| Provider Name | Mark Evan Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699266635 PECOS PAC ID: 2860734589 Enrollment ID: I20190430000550 |
| Provider Name | Kathleen Marie Conlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508447327 PECOS PAC ID: 7517357924 Enrollment ID: I20211129001285 |
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