Aegis Medical Care Of Az, PC
Family Medicine in Peoria, AZ. Organization (NPI-2).
NPI number1740242460
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1740242460
- Entity type
- Organization (NPI-2)
- Legal business name
- Aegis Medical Care Of Az, PC
- Organization subpart
- No
- Enumeration date
- Apr 6, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Del Lago Family Medicine (Doing Business As)
Practice location
20470 N Lake Pleasant RdSuite 110
Peoria, AZ 85382-9708
Phone 623-266-4699 · Fax 623-825-5630
Mailing address
20470 N Lake Pleasant RdSuite 110
Peoria, AZ 85382-9708
Phone 623-266-4699 · Fax 623-825-5630
Authorized official
Aaron Bradley Boor
President/Ceo
6232664699
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