Costa Clinic PLLC
Costa Clinic PLLC is a Family Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2023.
- In the registry since
- 2023
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3811 E Bell Rd Ste 106Phoenix, AZ 85032-2158
Phone: (602) 443-1085
Fax: (602) 443-1086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1366218414 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Priyanka Costa Hennis — Medical Director · (312) 625-0574 |
| Other names | Scottsdale Premier Care; Scottsdale Premier Care |
| NPI enumerated | November 29, 2023 |
| Last updated in NPPES | December 14, 2023 |
| Certification date | December 14, 2023 |
| Mailing address | 1628 E Southern Ave Ste 9803, Tempe, AZ 85282-5782 |
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James P Corcoran IV, DO
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Priyanka Costa Hennis, MD
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