| Phoenix Geriatrics And Internal Medicine Pllc | |
|
8300 E Dixileta Dr #278 Scottsdale AZ 85266-2273 | |
| (602) 770-2468 | |
| (480) 409-2512 |
| Full Name | Phoenix Geriatrics And Internal Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8300 E Dixileta Dr, Scottsdale, Arizona |
| Authorized Official Name and Position | Luis L Gonzalez (PHYSICIAN) |
| Authorized Official Contact | 6027702468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Geriatrics And Internal Medicine Pllc Po Box 28757 Scottsdale AZ 85255-0162 Ph: (602) 770-2468 | Phoenix Geriatrics And Internal Medicine Pllc 8300 E Dixileta Dr #278 Scottsdale AZ 85266-2273 Ph: (602) 770-2468 |
| NPI Number | 1346335676 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 01/30/2020 |
| Medicare PECOS PAC ID | 6608829767 |
|---|---|
| Medicare Enrollment ID | O20050301000423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346335676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 15447 (Arizona) | Primary |
| Provider Name | Luis L Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639276520 PECOS PAC ID: 6305899469 Enrollment ID: I20050301000459 |
| Provider Name | Jeanne Esther Carver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619395399 PECOS PAC ID: 3476865460 Enrollment ID: I20150706000444 |
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