| Phoenix Id LLC | |
|
340 E Palm Ln Ste 100 Phoenix AZ 85004-4528 | |
| (602) 254-1136 | |
| (602) 272-1720 |
| Full Name | Phoenix Id LLC |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 340 E Palm Ln Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | Jacob Oommen (OWNER) |
| Authorized Official Contact | 4809077786 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Id LLC 3303 S Lindsay Rd Ste 123 Gilbert AZ 85297-2100 Ph: (480) 821-9339 | Phoenix Id LLC 340 E Palm Ln Ste 100 Phoenix AZ 85004-4528 Ph: (602) 254-1136 |
| NPI Number | 1205027646 |
|---|---|
| Provider Enumeration Date | 08/08/2007 |
| Last Update Date | 10/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205027646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 37316 (Arizona) | Primary |
Richard A. Snider, MD, PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12010 S Warner Elliot Loop, Phoenix, AZ 85044 Phone: 480-893-2644 |
Kelly H. Roy, MD, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1008 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-358-8588 Fax: 602-688-6991 |
My Family Doctor in the Valley PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11030 N Tatum Blvd, Ste 101, Phoenix, AZ 85028 Phone: 602-687-8265 |
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