| North Mountain Family Medicine | |
|
3805 E Bell Road St. 5300 Phoenix AZ 85032 | |
| (602) 246-0351 | |
| (602) 246-7023 |
| Full Name | North Mountain Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 3805 E Bell Road, Phoenix, Arizona |
| Authorized Official Name and Position | Debbie Birch (OFFICE MANAGER) |
| Authorized Official Contact | 6022460351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Mountain Family Medicine 3805 E Bell Road St. 5300 Phoenix AZ 85032 Ph: (602) 246-0351 | North Mountain Family Medicine 3805 E Bell Road St. 5300 Phoenix AZ 85032 Ph: (602) 246-0351 |
| NPI Number | 1548412950 |
|---|---|
| Provider Enumeration Date | 10/16/2008 |
| Last Update Date | 10/01/2019 |
| Medicare PECOS PAC ID | 9335201532 |
|---|---|
| Medicare Enrollment ID | O20081223000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548412950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Gary a Erbstoesser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871692574 PECOS PAC ID: 9436211638 Enrollment ID: I20081223000164 |
| Provider Name | Jennifer a Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851731053 PECOS PAC ID: 7113161589 Enrollment ID: I20130925000380 |
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