Centerwell Senior Primary Care Az PC

NPI #1255172219 in Surprise, Arizona

Provider Information

NPI Number: 1255172219
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: Jun 4, 2024
Last Updated: Jul 22, 2024

Practice Location

Address: 14827 W BELL RD STE 103
City: Surprise
State: Arizona
ZIP Code: 85374-7614
Phone: (623) 544-3522

Authorized Official

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

Specialties & Taxonomy Codes

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

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