Parkside Medical, LLC

NPI #1467850461 in Yuma, Arizona

Provider Information

NPI Number: 1467850461
Entity Type: Organization
Organization Name: Parkside Medical, LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 8, 2014
Last Updated: Dec 8, 2014

Practice Location

Address: 501 W 8TH ST
City: Yuma
State: Arizona
ZIP Code: 85364-2956
Phone: (928) 782-9000

Authorized Official

Name: MR. DANIEL ORTIZ, PA-C
Title: MEMBER
Phone: (928) 539-0055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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