| Pinal Mountain Internal Medicine Pc | |
|
5884 S Hospital Drive Suite #1 Globe AZ 85501 | |
| (928) 402-0096 | |
| (928) 402-0098 |
| Full Name | Pinal Mountain Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5884 S Hospital Drive, Globe, Arizona |
| Authorized Official Name and Position | Brent Jay Layton (PRESIDENT) |
| Authorized Official Contact | 9284020096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pinal Mountain Internal Medicine Pc Po Box 2260 Claypool AZ 85532-2260 Ph: (928) 402-0096 | Pinal Mountain Internal Medicine Pc 5884 S Hospital Drive Suite #1 Globe AZ 85501 Ph: (928) 402-0096 |
| NPI Number | 1487616157 |
|---|---|
| Provider Enumeration Date | 04/06/2006 |
| Last Update Date | 01/10/2008 |
| Medicare PECOS PAC ID | 6608957105 |
|---|---|
| Medicare Enrollment ID | O20080122000446 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487616157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14119 (Arizona) | Primary |
| Provider Name | Brent J Layton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861454530 PECOS PAC ID: 7416982590 Enrollment ID: I20050927001471 |
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