Organization
M & M MEDICAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVAN MICHAEL FILNER D.O. (PRESIDENT)
(623) 487-3334
Entity
Organization
Contact information
Practice address
15182 N 75TH AVE, 180, PEORIA, AZ 85381-4722
(623) 487-3334
(623) 487-3656
Mailing address
15182 N 75TH AVE, 180, PEORIA, AZ 85381-4722
(623) 487-3334
(623) 487-3656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3383
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z7949
HEALTHNET
AZ
01
—
52892
AETNA
AZ
05
—
641417
—
AZ
01
—
AZ0840950
BCBS
AZ
01
—
F00981
PHOENIX HEALTH PLAN
AZ
Enumeration date
05/30/2008
Last updated
10/25/2011
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