Centerwell Senior Primary Care Az PC

NPI #1396501201 in Surprise, Arizona

Provider Information

NPI Number: 1396501201
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: Feb 27, 2024
Last Updated: Aug 19, 2024

Practice Location

Address: 13945 W GRAND AVE STE 102
City: Surprise
State: Arizona
ZIP Code: 85374-2437
Phone: (024) 286-9156

Authorized Official

Name: BRIENNE JANSEN LOY
Title: OWNER
Phone: (832) 667-4150

Specialties & Taxonomy Codes

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

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