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NPI Code Detail

MEDICARE: CORNERSTONE GERIATRIC CARE, PC

MEDICARE: CORNERSTONE GERIATRIC CARE, PC
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
1207RG0300XGeriatric Medicine (Internal Medicine) Physician46497AZ

General Provider Information

NPI Number : 1568869048
Entity Type Code : Organization
Provider Name (Legal Business Name) : CORNERSTONE GERIATRIC CARE, PC
Provider Business Mailing Address
First Line : 21846 N 21ST AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2003
Country : US
Telephone Number : 623-535-5887
Fax Number : 602-429-8112
Provider Business Practice Location Address
First Line : 6740 W DEER VALLEY RD
Second Line : PMB 304
City : GLENDALE
State : AZ
Zip : 85310-5953
Country : US
Telephone Number : 623-535-5887
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. MATTHEW D SKINNER
Credential : MD
Telephone Number : 623-535-5887
Provider Enumeration Date : 11/26/2014
Last Update Date : 11/30/2014

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Directions to “CORNERSTONE GERIATRIC CARE, PC ” Practice Location

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