Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Patrong Peou, PA-C

Individual provider Physician Assistant · NPI 1861738825

Patrong Peou, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2012, 14 years ago. Practices with Nextcare Arizona I Jv LLC, a 301-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
14
Licensed in
AZ
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5102 W Campbell Ave
Phoenix, AZ 85031-1703
Phone: (623) 848-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5246 (AZ)

Record details

NPI number1861738825
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 19, 2012
Last updated in NPPESDecember 21, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Nextcare Arizona I Jv Llc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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