| Dash Medical Llc | |
|
2400 S Avenue A Yuma AZ 85364-7127 | |
| (928) 317-9100 | |
| (928) 317-9300 |
| Full Name | Dash Medical Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2400 S Avenue A, Yuma, Arizona |
| Authorized Official Name and Position | Peter B Dashkoff (MEMBER) |
| Authorized Official Contact | 9283179100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dash Medical Llc Po Box 5124 Yuma AZ 85366-2456 Ph: (928) 317-9100 | Dash Medical Llc 2400 S Avenue A Yuma AZ 85364-7127 Ph: (928) 317-9100 |
| NPI Number | 1043764566 |
|---|---|
| Provider Enumeration Date | 08/12/2016 |
| Last Update Date | 08/12/2016 |
| Medicare PECOS PAC ID | 6709166119 |
|---|---|
| Medicare Enrollment ID | O20161130002259 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043764566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 46979 (Arizona) | Primary |
| Provider Name | Peter Dashkoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912141367 PECOS PAC ID: 1951547082 Enrollment ID: I20130416000566 |
| Provider Name | Mary K Rush |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477961811 PECOS PAC ID: 4688895774 Enrollment ID: I20141014000917 |
| Provider Name | Richard A Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609806348 PECOS PAC ID: 4183528714 Enrollment ID: I20151116002266 |
| Provider Name | Hector I De La Torre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205370293 PECOS PAC ID: 8224312012 Enrollment ID: I20170222001480 |
| Provider Name | Mario Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023667862 PECOS PAC ID: 9032542303 Enrollment ID: I20191129000156 |
| Provider Name | Miriam Elizabeth Espinoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073915633 PECOS PAC ID: 3577748003 Enrollment ID: I20210902003182 |
| Provider Name | Ivan H Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720742729 PECOS PAC ID: 5890188932 Enrollment ID: I20220211002141 |
| Provider Name | Ann Conner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659099570 PECOS PAC ID: 3971989385 Enrollment ID: I20221007000303 |
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