| Scottsdale Primary Care, Pc | |
|
7534 E 2nd St 101 Scottsdale AZ 85251 | |
| (480) 257-3299 | |
| (480) 257-3289 |
| Full Name | Scottsdale Primary Care, Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7534 E 2nd St, Scottsdale, Arizona |
| Authorized Official Name and Position | Alyssa Wubker (ADMINISTRATOR) |
| Authorized Official Contact | 4802573299 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottsdale Primary Care, Pc 7534 E 2nd St 101 Scottsdale AZ 85251-4548 Ph: (480) 257-3299 | Scottsdale Primary Care, Pc 7534 E 2nd St 101 Scottsdale AZ 85251 Ph: (480) 257-3299 |
| NPI Number | 1184971376 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 12/16/2020 |
| Medicare PECOS PAC ID | 1052564648 |
|---|---|
| Medicare Enrollment ID | O20130110000036 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184971376 | NPI | - | NPPES |
| 441436 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael E Stevens |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437150034 PECOS PAC ID: 2961441902 Enrollment ID: I20050428000569 |
| Provider Name | Maria E Barriga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952626822 PECOS PAC ID: 7810296290 Enrollment ID: I20200406002941 |
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