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Organization

ARIZONA PREFERRED PRIMARY CARE,PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ABED EL NASSER S MOGHARBEL (ADMINISTRATOR)
(480) 736-1184
Entity
Organization

Contact information

Practice address
3035 S ELLSWORTH RD, SUITE 103, MESA, AZ 85212
(480) 736-1777
(480) 736-1144
Mailing address
3035 S ELLSWORTH RD, SUITE 103, MESA, AZ 85212-2160
(480) 736-1777
(480) 736-1144

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z77747
MEDICARE LEGACY
AZ
Enumeration date
05/20/2006
Last updated
10/30/2014
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