| O.serrano, M.d. Pllc | |
|
37100 N Gantzel Rd San Tan Valley AZ 85140-7349 | |
| (480) 461-1135 | |
| (480) 461-1138 |
| Full Name | O.serrano, M.d. Pllc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 37100 N Gantzel Rd, San Tan Valley, Arizona |
| Authorized Official Name and Position | Oluwagbenga Serrano (PRESIDENT) |
| Authorized Official Contact | 4804611135 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| O.serrano, M.d. Pllc Po Box 5027 Mesa AZ 85211-5027 Ph: (480) 461-1135 | O.serrano, M.d. Pllc 37100 N Gantzel Rd San Tan Valley AZ 85140-7349 Ph: (480) 461-1135 |
| NPI Number | 1114201290 |
|---|---|
| Provider Enumeration Date | 10/06/2011 |
| Last Update Date | 10/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114201290 | NPI | - | NPPES |
| 639396 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 29877 (Arizona) | Primary |
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Banner Physician Specialists Arizona Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 37100 N Gantzel Rd, Ste 107, San Tan Valley, AZ 85140 Phone: 480-394-4480 | |
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Azmed4u Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 270 E Hunt Hwy Ste 16-189, San Tan Valley, AZ 85143 Phone: 480-349-7169 Fax: 480-546-3765 |