Organization
JOHN S BICKLE DO PLC
Active
Other names
Black Mountain Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BICKLE DO (PRESIDENT)
(480) 595-8900
Entity
Organization
Contact information
Practice address
33755 N SCOTTSDALE RD, SUITE 120, SCOTTSDALE, AZ 85266-1567
(480) 595-8900
(480) 595-8910
Mailing address
33755 N SCOTTSDALE RD, SUITE 120, SCOTTSDALE, AZ 85266-1567
(480) 595-8900
(480) 595-8910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30905
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0714850
BLUE CROSS
AZ
Enumeration date
03/06/2007
Last updated
05/19/2008
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