| Elite Infusions Llc | |
|
10252 W Villa Chula Peoria AZ 85383 | |
| (623) 210-5041 | |
| Not Available |
| Full Name | Elite Infusions Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 10252 W Villa Chula, Peoria, Arizona |
| Authorized Official Name and Position | Kirsten Perkins (OWNER) |
| Authorized Official Contact | 6232105041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Infusions Llc 10252 W Villa Chula Peoria AZ 85383-2748 Ph: (623) 210-5041 | Elite Infusions Llc 10252 W Villa Chula Peoria AZ 85383 Ph: (623) 210-5041 |
| NPI Number | 1013417617 |
|---|---|
| Provider Enumeration Date | 02/20/2018 |
| Last Update Date | 06/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013417617 | NPI | - | NPPES |
| 26219 | Other | AZ | ARIZONA MEDICAL LICENSE |
| 1831145796 | Other | AZ | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 26219 (Arizona) | Primary |
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