| Mitch Freeman MD PC | |
|
2120 W 24th St Suite B Yuma AZ 85364-6187 | |
| (928) 314-1695 | |
| Not Available |
| Full Name | Mitch Freeman MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 2120 W 24th St, Yuma, Arizona |
| Authorized Official Name and Position | Mitch Freeman (PRESIDENT/OWNER) |
| Authorized Official Contact | 9283141695 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mitch Freeman MD PC 2120 W 24th St Suite B Yuma AZ 85364-6187 | Mitch Freeman MD PC 2120 W 24th St Suite B Yuma AZ 85364-6187 Ph: (928) 314-1695 |
| NPI Number | 1922436625 |
|---|---|
| Provider Enumeration Date | 10/16/2013 |
| Last Update Date | 10/16/2013 |
| Medicare PECOS PAC ID | 3072583632 |
|---|---|
| Medicare Enrollment ID | O20040729001410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922436625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27545 (Arizona) | Primary |
| Provider Name | Mitch M Freeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164459434 PECOS PAC ID: 7517937170 Enrollment ID: I20040730000493 |
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