| Pete S Coury Md Pllc | |
|
5424 E Southern Ave Suite 101 Mesa AZ 85206-3621 | |
| (480) 654-6200 | |
| (480) 654-6214 |
| Full Name | Pete S Coury Md Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 5424 E Southern Ave, Mesa, Arizona |
| Authorized Official Name and Position | Pete S Coury (PRESIDENT OWNER) |
| Authorized Official Contact | 4806546400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pete S Coury Md Pllc 5424 E Southern Ave Suite 101 Mesa AZ 85206-3621 Ph: (480) 654-6200 | Pete S Coury Md Pllc 5424 E Southern Ave Suite 101 Mesa AZ 85206-3621 Ph: (480) 654-6200 |
| NPI Number | 1588797765 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/27/2011 |
| Medicare PECOS PAC ID | 4385613124 |
|---|---|
| Medicare Enrollment ID | O20040929000285 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588797765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27809 (Arizona) | Primary |
| Provider Name | Mary L Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225119159 PECOS PAC ID: 4486634771 Enrollment ID: I20040726001245 |
| Provider Name | Pete S Coury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598751497 PECOS PAC ID: 2567431307 Enrollment ID: I20040929000955 |
| Provider Name | Heather M Zeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093962482 PECOS PAC ID: 7315006319 Enrollment ID: I20081105000766 |
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