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NPI Code Detail

MEDICARE: ADVANCED MEDICAL CARE LLC

MEDICARE: ADVANCED MEDICAL CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician36130AZ

General Provider Information

NPI Number : 1285888271
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED MEDICAL CARE LLC
Provider Business Mailing Address
First Line : 3225 N CIVIC CENTER PLZ
Second Line : SUITE #6
City : SCOTTSDALE
State : AZ
Zip : 85251-6919
Country : US
Telephone Number : 480-947-4545
Fax Number : 480-947-4552
Provider Business Practice Location Address
First Line : 3225 N CIVIC CENTER PLZ
Second Line : SUITE #6
City : SCOTTSDALE
State : AZ
Zip : 85251-6919
Country : US
Telephone Number : 480-947-4545
Fax Number : 480-947-4552
Authorized Official
Title or Position : MEMBER
Name : MAHA TOMAS
Credential : MD
Telephone Number : 480-241-4412
Provider Enumeration Date : 11/05/2008
Last Update Date : 11/05/2008

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Directions to “ADVANCED MEDICAL CARE LLC ” Practice Location

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