| Estrella Internal Medicine And Pediatrics Pc | |
|
14541 W Indian School Road Ste 600 Goodyear AZ 85338-9243 | |
| (623) 535-5599 | |
| (623) 535-4696 |
| Full Name | Estrella Internal Medicine And Pediatrics Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 14541 W Indian School Road, Goodyear, Arizona |
| Authorized Official Name and Position | Kent M Johnson (PRESIDENT) |
| Authorized Official Contact | 6235355599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Estrella Internal Medicine And Pediatrics Pc 14541 W Indian School Road Ste 600 Goodyear AZ 85338-9243 Ph: (623) 535-5599 | Estrella Internal Medicine And Pediatrics Pc 14541 W Indian School Road Ste 600 Goodyear AZ 85338-9243 Ph: (623) 535-5599 |
| NPI Number | 1669426565 |
|---|---|
| Provider Enumeration Date | 05/22/2006 |
| Last Update Date | 11/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669426565 | NPI | - | NPPES |
| 332481 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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