Estrella Mountain Medical Group

NPI 1336220284 - Family Medicine - 207Q00000X

NPI Details
NPI 1336220284
Enumeration Date 10/18/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MEGAN Y MEGAN
Position MEDICAL DOCTOR
Phone (623) 433-0100
Fax (623) 433-0101
Practice Location
10815 W MCDOWELL RD
# 204
AVONDALE AZ, 85323, US
Phone (623) 433-0100
Fax (623) 433-0101
Business Location
10815 W MCDOWELL RD
# 204
AVONDALE AZ, 85323, US
Phone (623) 433-0100
Fax (623) 433-0101
Toxanomy
Taxonomy Code 207Q00000X
License State Arizona
License Number 32492
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According to our database, Estrella Mountain Medical Group NPI is 1336220284, taxonomy code is 207Q00000X and license number is 32492, license state is located at Arizona. Estrella Mountain Medical Group physically located at 10815 W Mcdowell Rd, Avondale AZ, 85323. NPI Number 1033115704 has the healthcare provider type.

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1336220284 NPI number is provided on an as is basis without warranty of any kind. 1336220284 is maintained by the National Plan & Provider Enumeration System. The contents of Estrella Mountain Medical Group are for informational purposes only.