| Dba :all Ages Family Medicine | |
|
201 W Guadalupe Rd Ste 200 Gilbert AZ 85233-3332 | |
| (480) 558-7078 | |
| (480) 558-7081 |
| Full Name | Dba :all Ages Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 201 W Guadalupe Rd Ste 200, Gilbert, Arizona |
| Authorized Official Name and Position | Samer S Sannoufi (OWNER) |
| Authorized Official Contact | 4805587078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba :all Ages Family Medicine 201 W Guadalupe Rd Ste 200 Gilbert AZ 85233-3332 Ph: (480) 558-7078 | Dba :all Ages Family Medicine 201 W Guadalupe Rd Ste 200 Gilbert AZ 85233-3332 Ph: (480) 558-7078 |
| NPI Number | 1023201464 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 08/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023201464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 33024 (Arizona) | Primary |
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