| Michael T Medchill, MD, PC | |
|
500 W Thomas Rd Suite 480 Phoenix AZ 85013-4224 | |
| (602) 264-1771 | |
| (602) 264-1661 |
| Full Name | Michael T Medchill, MD, PC |
|---|---|
| Speciality | Clinic/center |
| Location | 500 W Thomas Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Michael Medchill (OWNER/PHYSICIAN) |
| Authorized Official Contact | 6022641771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T Medchill, MD, PC Po Box 51180 Phoenix AZ 85076-1180 Ph: (602) 264-1771 | Michael T Medchill, MD, PC 500 W Thomas Rd Suite 480 Phoenix AZ 85013-4224 Ph: (602) 264-1771 |
| NPI Number | 1700212826 |
|---|---|
| Provider Enumeration Date | 09/20/2013 |
| Last Update Date | 09/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700212826 | NPI | - | NPPES |
| 115156 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20807 (Arizona) | Primary |
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