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NPI Code Detail

MEDICARE: GERIATRIC SOLUTIONS - HOV, LLC

MEDICARE: GERIATRIC SOLUTIONS - HOV, 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
1207QG0300XGeriatric Medicine (Family Medicine) Physician22105AZ

General Provider Information

NPI Number : 1033145495
Entity Type Code : Organization
Provider Name (Legal Business Name) : GERIATRIC SOLUTIONS - HOV, LLC
Provider Business Mailing Address
First Line : 1510 E FLOWER ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5698
Country : US
Telephone Number : 602-954-0444
Fax Number : 602-952-7146
Provider Business Practice Location Address
First Line : 1510 E FLOWER ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-5698
Country : US
Telephone Number : 602-954-0444
Fax Number : 602-952-7146
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MRS. DEBORAH SHUMWAY
Credential :
Telephone Number : 602-530-6900
Provider Enumeration Date : 06/25/2006
Last Update Date : 04/30/2019

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Directions to “GERIATRIC SOLUTIONS - HOV, LLC ” Practice Location

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