Podewell, Clifford C

Podewell, Clifford C is an individual health care provider with primary practice located at 14300 W Granite Valley Dr , Sun City West AZ 85375-5783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Podewell, Clifford C can be contacted via phone (623) 546-8777.

Contact Information

Primary practice address
14300 W Granite Valley Dr Sun City West AZ 85375-5783
Phone: (623) 546-8777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 22999 Arizona

Profile Details

NPI number 1174593370
LBN Legal business name Podewell, Clifford C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174593370 NPPES
Arizona MEDICAID 191081

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