Centerwell Senior Primary Care Az PC

NPI #1003563347 in Peoria, Arizona

Provider Information

NPI Number: 1003563347
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care Az PC
Subpart: Yes (part of a larger organization)
Parent Organization: CENTERWELL SENIOR PRIMARY CARE AZ PC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 7, 2022
Last Updated: Oct 31, 2022

Practice Location

Address: 10280 N 91ST AVE
City: Peoria
State: Arizona
ZIP Code: 85345-6461
Phone: (602) 842-9880

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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