Organization
PIONEER PHYSICIANS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. JAYAREENA MAHALINGAM MD (OWNER)
(928) 317-9100
Entity
Organization
Contact information
Practice address
2400 S AVENUE A, YUMA, AZ 85364-7127
(928) 317-9100
(928) 317-9300
Mailing address
PO BOX 429, YUMA, AZ 85366-2318
(928) 317-9100
(928) 317-9300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37589
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491071
—
AZ
Enumeration date
02/23/2011
Last updated
10/19/2011
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