| Greg Alaestante Do Pc | |
|
2204 S Dobson Rd Ste 101 Mesa AZ 85202-6457 | |
| (480) 912-3510 | |
| (480) 912-3514 |
| Full Name | Greg Alaestante Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2204 S Dobson Rd Ste 101, Mesa, Arizona |
| Authorized Official Name and Position | Greg B Alaestate (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4803268348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greg Alaestante Do Pc 2204 S Dobson Rd Ste 101 Mesa AZ 85202-6457 Ph: (480) 912-3510 | Greg Alaestante Do Pc 2204 S Dobson Rd Ste 101 Mesa AZ 85202-6457 Ph: (480) 912-3510 |
| NPI Number | 1295456481 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 09/07/2022 |
| Medicare PECOS PAC ID | 5597135988 |
|---|---|
| Medicare Enrollment ID | O20221229000957 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295456481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Greg Buot Alaestante |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710247887 PECOS PAC ID: 1254657133 Enrollment ID: I20150630002488 |
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