| North Scottsdale Medical Pllc | |
|
9445 E Ironwood Square Dr Suite 100 Scottsdale AZ 85258-4574 | |
| (480) 551-1005 | |
| (480) 513-8439 |
| Full Name | North Scottsdale Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9445 E Ironwood Square Dr, Scottsdale, Arizona |
| Authorized Official Name and Position | Steven Weisman (OWNER) |
| Authorized Official Contact | 4805511005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Scottsdale Medical Pllc 9445 E Ironwood Square Dr Suite 100 Scottsdale AZ 85258-4574 Ph: (480) 551-1005 | North Scottsdale Medical Pllc 9445 E Ironwood Square Dr Suite 100 Scottsdale AZ 85258-4574 Ph: (480) 551-1005 |
| NPI Number | 1447519731 |
|---|---|
| Provider Enumeration Date | 05/08/2012 |
| Last Update Date | 05/08/2012 |
| Medicare PECOS PAC ID | 2163686742 |
|---|---|
| Medicare Enrollment ID | O20120611000641 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447519731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27717 (Arizona) | Primary |
| Provider Name | Steven E Weisman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720038656 PECOS PAC ID: 8224074380 Enrollment ID: I20050629000794 |
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