| Jennifer Fontius Md Pllc | |
|
7450 E Pinnacle Peak Rd Suite 156 Scottsdale AZ 85255-3435 | |
| (480) 563-3211 | |
| (480) 563-5132 |
| Full Name | Jennifer Fontius Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7450 E Pinnacle Peak Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Jennifer Jane Fontius (OWNER) |
| Authorized Official Contact | 6025165244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Fontius Md Pllc Po Box 28423 Scottsdale AZ 85255-0157 Ph: (480) 563-3211 | Jennifer Fontius Md Pllc 7450 E Pinnacle Peak Rd Suite 156 Scottsdale AZ 85255-3435 Ph: (480) 563-3211 |
| NPI Number | 1205039666 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 03/04/2015 |
| Medicare PECOS PAC ID | 7618936535 |
|---|---|
| Medicare Enrollment ID | O20110318000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205039666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35692 (Arizona) | Primary |
| Provider Name | Jennifer J Fontius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881662351 PECOS PAC ID: 6204811565 Enrollment ID: I20090216000257 |
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