| Higley Family Medicine, Llc | |
|
1425 S Higley Rd Suite 102 Gilbert AZ 85296-4798 | |
| (480) 988-6878 | |
| (480) 988-6879 |
| Full Name | Higley Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1425 S Higley Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Trevor W Whitmore (OWNER/PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 4809886878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Higley Family Medicine, Llc 1425 S Higley Rd Suite 102 Gilbert AZ 85296-4798 Ph: (480) 988-6878 | Higley Family Medicine, Llc 1425 S Higley Rd Suite 102 Gilbert AZ 85296-4798 Ph: (480) 988-6878 |
| NPI Number | 1366626400 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 06/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366626400 | NPI | - | NPPES |
| 560674 | Medicaid | AZ | |
| 228810 | Medicaid | AZ | |
| 286791 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2399 (Arizona) | Primary |
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