| The Excel Group | |
|
3250 E 40th St Yuma AZ 85365-7748 | |
| (928) 317-5023 | |
| (928) 344-6358 |
| Full Name | The Excel Group |
|---|---|
| Speciality | Family Medicine |
| Location | 3250 E 40th St, Yuma, Arizona |
| Authorized Official Name and Position | Carol A. Carr (CEO) |
| Authorized Official Contact | 9283410335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Excel Group 3250a E 40th St Yuma AZ 85365-7748 Ph: (928) 341-0335 | The Excel Group 3250 E 40th St Yuma AZ 85365-7748 Ph: (928) 317-5023 |
| NPI Number | 1407937550 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 10/15/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407937550 | NPI | - | NPPES |
| 949810 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OTC-3386 (Arizona) | Primary |
| 363A00000X | Physician Assistant | OTC-3386 (Arizona) | Secondary |
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