03D2136519 CLIA NUMBER - PEBBLE CREEK MEDICAL GROUP, PLLC

Laboratory Demographics

CLIA Number: 03D2136519

Facility Name: PEBBLE CREEK MEDICAL GROUP, PLLC

Facility Address:
700 N ESTRELLA PKWY #130
GOODYEAR, AZ
ZIP 85338
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Facility Phone Number: (623) 322-2144

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1790213064

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name	Field Value
CLIA Number	03D2136519
LAB Type	PHYSICIAN OFFICE
Facility Name	PEBBLE CREEK MEDICAL GROUP, PLLC
Street	700 N ESTRELLA PKWY #130
City	GOODYEAR
State	AZ
ZIP	85338
Phone	(623) 322-2144

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This page was last updated on: 5/11/2023