| Doctor on Call Corp | |
|
11201 N Tatum Blvd Ste 300 Phoenix AZ 85028-6039 | |
| (480) 900-3556 | |
| Not Available |
| Full Name | Doctor on Call Corp |
|---|---|
| Speciality | General Practice |
| Location | 11201 N Tatum Blvd Ste 300, Phoenix, Arizona |
| Authorized Official Name and Position | Jessica Moody (OWNER) |
| Authorized Official Contact | 4809003556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doctor on Call Corp 11201 N Tatum Blvd Ste 300 Phoenix AZ 85028-6039 Ph: (480) 900-3556 | Doctor on Call Corp 11201 N Tatum Blvd Ste 300 Phoenix AZ 85028-6039 Ph: (480) 900-3556 |
| NPI Number | 1194420174 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Medicare PECOS PAC ID | 9032563788 |
|---|---|
| Medicare Enrollment ID | O20230928001943 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194420174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Christian J Moher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497731582 PECOS PAC ID: 2961397161 Enrollment ID: I20040217000728 |
| Provider Name | Jessica M Moody |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043349400 PECOS PAC ID: 8325206949 Enrollment ID: I20120228000260 |
| Provider Name | Greg Buot Alaestante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710247887 PECOS PAC ID: 1254657133 Enrollment ID: I20150630002488 |
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