| Wellness Today Medical Clinic, Inc. | |
|
13090 N 94th Dr # 204 Peoria AZ 85381-4256 | |
| (623) 972-6700 | |
| Not Available |
| Full Name | Wellness Today Medical Clinic, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 13090 N 94th Dr, Peoria, Arizona |
| Authorized Official Name and Position | Paul M Shanahan (BILLING MANAGER) |
| Authorized Official Contact | 6239746611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Today Medical Clinic, Inc. 13090 N 94th Dr # 204 Peoria AZ 85381-4256 Ph: (623) 972-6700 | Wellness Today Medical Clinic, Inc. 13090 N 94th Dr # 204 Peoria AZ 85381-4256 Ph: (623) 972-6700 |
| NPI Number | 1629226816 |
|---|---|
| Provider Enumeration Date | 09/03/2008 |
| Last Update Date | 12/18/2008 |
| Medicare PECOS PAC ID | 4385711746 |
|---|---|
| Medicare Enrollment ID | O20080926000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629226816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10747 (Arizona) | Primary |
| Provider Name | Ruben Aguilera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568463792 PECOS PAC ID: 6901792951 Enrollment ID: I20080910000195 |
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