Organization
EXCEL PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEENA VENUGOPAL MD (OWNER)
(480) 507-0604
Entity
Organization
Contact information
Practice address
3303 S LINDSAY RD, #115, GILBERT, AZ 85296-6503
(480) 507-0604
(480) 507-0592
Mailing address
3303 S LINDSAY RD, #115, GILBERT, AZ 85296-6503
(480) 507-0604
(480) 507-0592
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30137
AZ
Other
Enumeration date
08/09/2006
Last updated
12/07/2010
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