| Forty-third Medical Associates, Pc | |
|
7725 N 43rd Ave #111 Phoenix AZ 85051 | |
| (623) 931-9201 | |
| (623) 931-2116 |
| Full Name | Forty-third Medical Associates, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7725 N 43rd Ave, Phoenix, Arizona |
| Authorized Official Name and Position | James L. Beach (OWNER) |
| Authorized Official Contact | 6234638533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forty-third Medical Associates, Pc 7725 N 43rd Ave #111 Phoenix AZ 85051 Ph: (623) 931-9201 | Forty-third Medical Associates, Pc 7725 N 43rd Ave #111 Phoenix AZ 85051 Ph: (623) 931-9201 |
| NPI Number | 1982750600 |
|---|---|
| Provider Enumeration Date | 01/26/2007 |
| Last Update Date | 12/08/2015 |
| Medicare PECOS PAC ID | 1850370826 |
|---|---|
| Medicare Enrollment ID | O20040714001467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982750600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | James L Beach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053304808 PECOS PAC ID: 2163565631 Enrollment ID: I20100205000246 |
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