| My Doc LLC | |
|
5501 N 19th Ave Ste 103 Phoenix AZ 85015-2451 | |
| (602) 841-7588 | |
| (602) 249-5080 |
| Full Name | My Doc LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 5501 N 19th Ave Ste 103, Phoenix, Arizona |
| Authorized Official Name and Position | Aldemir T Coelho (DOCTOR) |
| Authorized Official Contact | 6028417588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Doc LLC 5501 N 19th Ave Ste 103 Phoenix AZ 85015-2451 Ph: (602) 841-7588 | My Doc LLC 5501 N 19th Ave Ste 103 Phoenix AZ 85015-2451 Ph: (602) 841-7588 |
| NPI Number | 1639303464 |
|---|---|
| Provider Enumeration Date | 05/07/2009 |
| Last Update Date | 05/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639303464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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