Organization
MEDIQUE INTERNISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE SERBIN (BILLING MANAGER)
(602) 467-4733
Entity
Organization
Contact information
Practice address
961 W MACAW DR, CHANDLER, AZ 85286-7624
(602) 230-1215
(602) 241-0249
Mailing address
PO BOX 11850, CHANDLER, AZ 85248-0015
(602) 230-1215
(602) 241-0249
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27889
AZ
Other
Enumeration date
11/06/2008
Last updated
12/01/2011
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