MEDICARE: PRIME DIRECT HEALTH 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
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1326841305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIME DIRECT HEALTH LLC

Provider Business Mailing Address
First Line	:	690 E WARNER RD STE 131
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-3057
Country	:	US
Telephone Number	:	480-571-5934
Fax Number	:	480-809-9310

Provider Business Practice Location Address
First Line	:	690 E WARNER RD STE 131
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-3057
Country	:	US
Telephone Number	:	480-571-5934
Fax Number	:	480-809-9310

Authorized Official
Title or Position	:	MANAGER
Name	:	ALISON SOLOMON
Credential	:
Telephone Number	:	480-571-5934

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	06/10/2026

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Directions to “PRIME DIRECT HEALTH LLC ” Practice Location

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