| Optimal Practice | |
|
610 E Baseline Rd Tempe AZ 85283-1204 | |
| (310) 877-0127 | |
| (623) 321-6694 |
| Full Name | Optimal Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 610 E Baseline Rd, Tempe, Arizona |
| Authorized Official Name and Position | Ryan Beatty (OWNER) |
| Authorized Official Contact | 3108770127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Optimal Practice 610 E Baseline Rd Tempe AZ 85283-1204 Ph: (310) 877-0127 | Optimal Practice 610 E Baseline Rd Tempe AZ 85283-1204 Ph: (310) 877-0127 |
| NPI Number | 1447992185 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 04/12/2022 |
| Certification Date | 04/12/2022 |
| Medicare PECOS PAC ID | 0547620734 |
|---|---|
| Medicare Enrollment ID | O20230719003565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447992185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | David P Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942278676 PECOS PAC ID: 1456255264 Enrollment ID: I20050318000576 |
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