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Organization

PRESIDIO PRIMARY CARE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIE PIMENTEL MD (DOCTOR)
(480) 505-3295
Entity
Organization

Contact information

Practice address
1100 S DOBSON RD, CHANDLER, AZ 85286-6157
(480) 505-3595
(480) 505-3288
Mailing address
1100 S DOBSON RD, SUITE 100, CHANDLER, AZ 85286-6157
(480) 347-4300
(480) 347-4360

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
22505
AZ
261QP2300X
Primary Care Clinic/Center
22574
AZ

Other

Enumeration date
08/07/2008
Last updated
12/29/2008
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