| Zyon Home Care Physician Llc | |
|
7007 E Main St Mesa AZ 85207-8204 | |
| (214) 664-2830 | |
| Not Available |
| Full Name | Zyon Home Care Physician Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7007 E Main St, Mesa, Arizona |
| Authorized Official Name and Position | Paidamoyo Wagoneka (DIRECTOR) |
| Authorized Official Contact | 2146642830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zyon Home Care Physician Llc 103 Cottonwood St # 824 Morenci AZ 85540-9634 Ph: () - | Zyon Home Care Physician Llc 7007 E Main St Mesa AZ 85207-8204 Ph: (214) 664-2830 |
| NPI Number | 1225816325 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 1951757723 |
|---|---|
| Medicare Enrollment ID | O20231031000965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225816325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paidamoyo Yvonne Wagoneka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700391257 PECOS PAC ID: 5991069155 Enrollment ID: I20231031001048 |
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