| Foothills Blvd Clinic, Llc | |
|
11611 S Foothills Blvd Suite C Yuma AZ 85367 | |
| (928) 342-1814 | |
| (928) 342-6154 |
| Full Name | Foothills Blvd Clinic, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 11611 S Foothills Blvd, Yuma, Arizona |
| Authorized Official Name and Position | Stamatia Fissas Gockel (OWNER/PHYSICIAN) |
| Authorized Official Contact | 9283421814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Blvd Clinic, Llc 11611 S Foothills Blvd Suite C Yuma AZ 85367 Ph: (928) 342-1814 | Foothills Blvd Clinic, Llc 11611 S Foothills Blvd Suite C Yuma AZ 85367 Ph: (928) 342-1814 |
| NPI Number | 1801922356 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 02/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801922356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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