| Conquer, Pllc | |
|
9375 E Shea Blvd Ste 266 Scottsdale AZ 85260 | |
| (480) 652-2931 | |
| Not Available |
| Full Name | Conquer, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9375 E Shea Blvd Ste 266, Scottsdale, Arizona |
| Authorized Official Name and Position | Lokeswari Bucchireddigari (OWNER/PROVIDER) |
| Authorized Official Contact | 4806522931 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Conquer, Pllc 10820 N 127th Pl Scottsdale AZ 85259-4330 Ph: (480) 652-2931 | Conquer, Pllc 9375 E Shea Blvd Ste 266 Scottsdale AZ 85260 Ph: (480) 652-2931 |
| NPI Number | 1982140885 |
|---|---|
| Provider Enumeration Date | 01/16/2017 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982140885 | NPI | - | NPPES |
| 1538575253 | Other | NPPES-INDIVIDUAL NPI | |
| 977793 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | AP5312 (Arizona) | Primary |
| 363LF0000X | Nurse Practitioner - Family | AP5312 (Arizona) | Secondary |
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