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PETE S COURY MD PLLC NPI 1588797765


NPI Information

NPI: 1588797765
Provider Name: PETE S COURY MD PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D1035511

Address:
5424 E SOUTHERN AVE
SUITE 101
MESA, AZ
ZIP 85206
Phone: (480) 654-6200
Get Directions

PETE S COURY MD PLLC is a family medicine in Mesa, 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. PETE S COURY MD PLLC NPI is 1588797765. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5424 E SOUTHERN AVE
SUITE 101
MESA, AZ
ZIP 85206-621
Phone: (480) 654-6200
Fax: (480) 654-6214

The provider's authorized official is Pete S Coury .
The authorized official title is President Owner and has the following contact phone number (480) 654-6400.

The CLIA number assigned to this NPI record is 03D1035511 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/27/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine27809ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z83970MEDICARE OSCAR/CERTIFICATION
2H11277MEDICARE UPINARIZONA
3Z83970MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.