Foothills Blvd Clinic Llc in Yuma - Family Medicine
Foothills Blvd Clinic Llc - NPI 1801922356
Foothills Blvd Clinic Llc is a Family Medicine in Yuma, Arizona. Foothills Blvd Clinic Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Foothills Blvd Clinic Llc is 1801922356. The last update date is 2012-02-03.
Foothills Blvd Clinic Llc's current location address is 11611 S Foothills Blvd, Yuma, Arizona. You can contact this provider via phone number 9283421814 and fax number 9283426154. The mailing address for Foothills Blvd Clinic Llc is 11611 S Foothills Blvd, Yuma, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Foothills Blvd Clinic Llc |
|---|---|
| Address | 11611 S Foothills Blvd, Yuma, Arizona |
| Phone Number | 9283421814 |
| Fax Number | 9283426154 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Gockel Fissas Stamatia |
| Credentials | DO |
| Telephone Number | 9283421814 |
NPI Number Detail
| NPI Number | 1801922356 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2012-02-03 |
Provider Mailing Address Detail
| Address | 11611 S Foothills Blvd |
|---|---|
| City | Yuma |
| State | Arizona (AZ) |
| Post Code | 85367 |
| Phone Number | 9283421814 |
| Fax Number | 9283426154 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the Foothills Blvd Clinic Llc's 1801922356?
The Foothills Blvd Clinic Llc's NPI (National Provider Identifier) Number is 1801922356. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Foothills Blvd Clinic Llc?
The Foothills Blvd Clinic Llc is situated at 11611 S Foothills Blvd, in the city of Yuma, state of AZ, with the zip code 85367.
What is Foothills Blvd Clinic Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Foothills Blvd Clinic Llc's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801922356 to Foothills Blvd Clinic Llc?
The Centers for Medicare & Medicaid Services originally issued the 1801922356 to Foothills Blvd Clinic Llc on 2007-02-26.
When was the information regarding Foothills Blvd Clinic Llc most recently updated?
The details pertaining to the Foothills Blvd Clinic Llc, including its address, specialty, and other relevant information, were last refreshed on 2012-02-03.
NPI Number: 1336142389
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