| Family Health Center Of East Valley Pllc | |
|
6952 E Broadway Rd Suite 101 Mesa AZ 85208-1974 | |
| (480) 325-0905 | |
| (480) 325-6661 |
| Full Name | Family Health Center Of East Valley Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6952 E Broadway Rd, Mesa, Arizona |
| Authorized Official Name and Position | Benedict Bognot Dayrit (OWNER) |
| Authorized Official Contact | 4803250905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Center Of East Valley Pllc 6952 E Broadway Rd Suite 101 Mesa AZ 85208-1974 Ph: (480) 325-0905 | Family Health Center Of East Valley Pllc 6952 E Broadway Rd Suite 101 Mesa AZ 85208-1974 Ph: (480) 325-0905 |
| NPI Number | 1699945675 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 04/04/2008 |
| Medicare PECOS PAC ID | 9537151840 |
|---|---|
| Medicare Enrollment ID | O20040330000586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699945675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 26127 (Arizona) | Primary |
| Provider Name | Benedict B Dayrit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376617464 PECOS PAC ID: 8426040734 Enrollment ID: I20101022000322 |
| Provider Name | Maria T Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467526558 PECOS PAC ID: 7416949722 Enrollment ID: I20101103001271 |
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