| Valley Internal Medicine And Pediatrics, P.c. | |
|
10900 N Scottsdale Rd Suite 206 Scottsdale AZ 85254-5216 | |
| (480) 991-5088 | |
| (480) 367-1361 |
| Full Name | Valley Internal Medicine And Pediatrics, P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10900 N Scottsdale Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Mark G. Webb (PRESIDENT) |
| Authorized Official Contact | 4809915088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Internal Medicine And Pediatrics, P.c. 10900 N Scottsdale Rd Suite 206 Scottsdale AZ 85254-5216 Ph: (480) 991-5088 | Valley Internal Medicine And Pediatrics, P.c. 10900 N Scottsdale Rd Suite 206 Scottsdale AZ 85254-5216 Ph: (480) 991-5088 |
| NPI Number | 1447339890 |
|---|---|
| Provider Enumeration Date | 11/06/2006 |
| Last Update Date | 06/26/2014 |
| Medicare PECOS PAC ID | 0042295651 |
|---|---|
| Medicare Enrollment ID | O20040618001265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447339890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Susan Ja Madsen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134216583 PECOS PAC ID: 6103012018 Enrollment ID: I20101117001635 |
| Provider Name | Mark Gerard Webb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255396867 PECOS PAC ID: 1658567565 Enrollment ID: I20110228000589 |
| Provider Name | Abigail Gerken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538697230 PECOS PAC ID: 7113297086 Enrollment ID: I20170725004435 |
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