| Padre Pio Clinic Inc. | |
|
3700 E Williams Field Rd Apt 2040 Gilbert AZ 85295-7000 | |
| (414) 520-3896 | |
| Not Available |
| Full Name | Padre Pio Clinic Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3700 E Williams Field Rd Apt 2040, Gilbert, Arizona |
| Authorized Official Name and Position | Dana Rodriguez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4145203896 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Padre Pio Clinic Inc. 3700 E Williams Field Rd Apt 2040 Gilbert AZ 85295-7000 Ph: (414) 520-3896 | Padre Pio Clinic Inc. 3700 E Williams Field Rd Apt 2040 Gilbert AZ 85295-7000 Ph: (414) 520-3896 |
| NPI Number | 1407109093 |
|---|---|
| Provider Enumeration Date | 10/19/2012 |
| Last Update Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407109093 | NPI | - | NPPES |
| 34152600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 43966-020 (Wisconsin) | Primary |
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