| The Pilot Clinic | |
|
1616 N Litchfield Rd Ste A230 Goodyear AZ 85395-1252 | |
| (623) 469-4688 | |
| (623) 284-0959 |
| Full Name | The Pilot Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 1616 N Litchfield Rd Ste A230, Goodyear, Arizona |
| Authorized Official Name and Position | Travis Allen (OWNER / MEDICAL DIRECTOR) |
| Authorized Official Contact | 6234694688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Pilot Clinic 5115 N Dysart Rd Ste 202-172 Litchfield Park AZ 85340-3032 Ph: (623) 469-4688 | The Pilot Clinic 1616 N Litchfield Rd Ste A230 Goodyear AZ 85395-1252 Ph: (623) 469-4688 |
| NPI Number | 1871235077 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 08/21/2023 |
| Medicare PECOS PAC ID | 2567817620 |
|---|---|
| Medicare Enrollment ID | O20231010000008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871235077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 2083A0100X | Preventive Medicine - Aerospace Medicine | (* (Not Available)) | Secondary |
| Provider Name | Travis Richard Cole Allen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972572535 PECOS PAC ID: 2860415338 Enrollment ID: I20210826001240 |
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