Restore Medical & Wound Experts | |
12725 W Indian School Rd Ste E101 Avondale AZ 85392-9525 | |
(623) 265-3786 | |
Not Available |
Full Name | Restore Medical & Wound Experts |
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Speciality | General Practice |
Location | 12725 W Indian School Rd Ste E101, Avondale, Arizona |
Authorized Official Name and Position | Michael Briones (MANAGER) |
Authorized Official Contact | 6232653786 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Restore Medical & Wound Experts 12725 W Indian School Rd Ste E101 Avondale AZ 85392-9525 Ph: (623) 265-3786 | Restore Medical & Wound Experts 12725 W Indian School Rd Ste E101 Avondale AZ 85392-9525 Ph: (623) 265-3786 |
NPI Number | 1275341422 |
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Provider Enumeration Date | 12/19/2024 |
Last Update Date | 12/19/2024 |
Medicare PECOS PAC ID | 9931638129 |
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Medicare Enrollment ID | O20250203001841 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275341422 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Michael Labuga Briones |
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Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1225221385 PECOS PAC ID: 6709251028 Enrollment ID: I20230418002152 |
Provider Name | Maria Fe Briones |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861214181 PECOS PAC ID: 8527598754 Enrollment ID: I20250213003662 |
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