| Scottsdale Family Physicians Pllc | |
|
9755 N 90th St Ste C200 Scottsdale AZ 85258-5048 | |
| (480) 661-1755 | |
| Not Available |
| Full Name | Scottsdale Family Physicians Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9755 N 90th St Ste C200, Scottsdale, Arizona |
| Authorized Official Name and Position | Marcia Sistek (OWNER) |
| Authorized Official Contact | 4806611755 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottsdale Family Physicians Pllc 9755 N 90th St Ste C200 Scottsdale AZ 85258-5048 Ph: (480) 661-1755 | Scottsdale Family Physicians Pllc 9755 N 90th St Ste C200 Scottsdale AZ 85258-5048 Ph: (480) 661-1755 |
| NPI Number | 1306408018 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 07/02/2019 |
| Medicare PECOS PAC ID | 7911238464 |
|---|---|
| Medicare Enrollment ID | O20191014002819 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306408018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marcia L Sistek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477543486 PECOS PAC ID: 3274550157 Enrollment ID: I20051031000151 |
| Provider Name | Susan Lynn Friedlan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184072225 PECOS PAC ID: 8628352788 Enrollment ID: I20170309000793 |
| Provider Name | Brandy Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306330105 PECOS PAC ID: 2264864750 Enrollment ID: I20191121003113 |
| Provider Name | Jennifer Gamlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942856539 PECOS PAC ID: 9133517600 Enrollment ID: I20211102003084 |
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