| Elevate Health Az, Pllc | |
|
9821 N 95th St Suite 101 Scottsdale AZ 85258-4589 | |
| (480) 525-5775 | |
| (480) 525-5776 |
| Full Name | Elevate Health Az, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9821 N 95th St, Scottsdale, Arizona |
| Authorized Official Name and Position | Lawrence M Mchenry (PHYSICIAN) |
| Authorized Official Contact | 4803915004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Health Az, Pllc 9821 N 95th St Suite 101 Scottsdale AZ 85258-4589 Ph: (480) 525-5775 | Elevate Health Az, Pllc 9821 N 95th St Suite 101 Scottsdale AZ 85258-4589 Ph: (480) 525-5775 |
| NPI Number | 1588008759 |
|---|---|
| Provider Enumeration Date | 04/18/2013 |
| Last Update Date | 07/18/2016 |
| Medicare PECOS PAC ID | 8123266244 |
|---|---|
| Medicare Enrollment ID | O20130531000519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588008759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3128 (Arizona) | Primary |
| Provider Name | Lawrence M Mchenry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528179207 PECOS PAC ID: 7416988316 Enrollment ID: I20050831000238 |
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