MEDCOM MEDICAL LLC NPI 1205962792

NPI Information

MEDCOM MEDICAL, LLC is a family medicine in Globe, AZ. The provider is 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 is not limited by age, sex, organ system, or disease entity. MEDCOM MEDICAL, LLC NPI is 1205962792. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Palo Verde Family Care, Inc..

The provider's business location address is:

108 SOUTH BROAD ST.
GLOBE, AZ
ZIP 85501
Phone: (928) 425-6592
Fax: (928) 425-7566

The provider's authorized official is Oscar Ernesto Andrade .
The authorized official title is President and has the following contact phone number (928) 402-0952.

The CLIA number assigned to this NPI record is 03D0928696 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 10/19/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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