| Drew Durbin, DO, PLLC | |
|
16601 N 40th St Suite #119-120 Phoenix AZ 85032-3345 | |
| (480) 779-4999 | |
| (480) 779-4998 |
| Full Name | Drew Durbin, DO, PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 16601 N 40th St, Phoenix, Arizona |
| Authorized Official Name and Position | Drew a Durbin (OWNER) |
| Authorized Official Contact | 4807794999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Drew Durbin, DO, PLLC 16601 N 40th St Ste 119 Phoenix AZ 85032-3355 Ph: (480) 779-4999 | Drew Durbin, DO, PLLC 16601 N 40th St Suite #119-120 Phoenix AZ 85032-3345 Ph: (480) 779-4999 |
| NPI Number | 1649508847 |
|---|---|
| Provider Enumeration Date | 11/27/2009 |
| Last Update Date | 06/06/2012 |
| Medicare PECOS PAC ID | 2668511791 |
|---|---|
| Medicare Enrollment ID | O20091203000382 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649508847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4274 (Arizona) | Primary |
| Provider Name | Madonna C Mallari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164402285 PECOS PAC ID: 8022084086 Enrollment ID: I20040909001284 |
| Provider Name | Drew a Durbin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063440907 PECOS PAC ID: 5294767596 Enrollment ID: I20050907001233 |
| Provider Name | Kirk Alan Tjalas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487930871 PECOS PAC ID: 2163645862 Enrollment ID: I20200108003134 |
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