PPO Statewide Network - AZBlue

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PPO Statewide Network101403-14Medical/Dental Provider Directory

BCBSAZ PPO STATEWIDE PROVIDER DIRECTORYThis directory lists physicians, hospitals and other health care providers who have contracted with Blue Cross BlueShield of Arizona (BCBSAZ) as PPO providers. Since individual providers and/or BCBSAZ may elect to terminatethe PPO agreement at any time, the status of providers is subject to change. In order to avoid increased costsharing of your medical expenses by using a non-PPO provider, always confirm the provider’s status prior to yourvisit. You can contact the provider directly, call BCBSAZ at (602) 864-4400 or (800) 232-2345. You can do a quicksearch for a provider or specialty in this pdf version of the directory by holding down the “Ctrl” and “F” keys, andtyping in the name or specialty in the field that appears.Going to be Out of Arizona?Out-of-Arizona Medical Providers http://provider.bcbs.comSearch the BlueCard U.S. Directory for providers in any U.S. state, Puerto Rico or U.S. Virgin Islands.Out-of-Arizona Dental Providers DenteMax Dentist Search (Out-of-Arizona)BluePreferred Eyewear Providers vloc.emvcEither inside or out-of-Arizona.DISCLAIMER OF LIABILITYBlue Cross Blue Shield of Arizona (BCBSAZ) published this provider directory as a reference source for itsmembers. At the time of printing, BCBSAZ attempted to include the name, address and telephone number of allproviders who are contracted with BCBSAZ. To the best of BCBSAZ’s knowledge, the information is/was accurate.The providers listed in this directory are independent contractors and not employees, agents, partners orrepresentatives of BCBSAZ. These independent providers have an agreement with BCBSAZ concerningreimbursement and administrative policies. Each provider exercises independent medical judgment with regard tocare and treatment provided to each member. BCBSAZ makes benefit determinations, not medical decisions.BCBSAZ does not interfere with the doctor-patient relationship.BCBSAZ is not representing or warranting to its members the degree of skill, the quality of care, or the type of healthcare services which may be provided by the providers listed in this directory. In no event shall BCBSAZ be liable toany member or any other individual who may be covered under a member contract for any decision made, actiontaken, misdiagnosis, or medical malpractice which may occur as a result of treatment provided by any independentcontractor in the directory. BCBSAZ has no control over any diagnosis, treatment, care or other services rendered byany provider, and disclaims all liability for any loss or injury to its members or any other individual caused by anyprovider by reason of negligence, failure to provide treatment or alleged medical malpractice.For information on how BCBSAZ reimburses providers, please read your benefit plan booklet and, if you are insuredunder a group contract, please read the group disclosure provided through your employer.Please note: The list of providers is subject to change at any time, without notice, because either the providers orBCBSAZ may elect to terminate the Participation Agreement.Key to footnotes:A “ ” next to a provider’s name indicates the provider has fulfilled additional training requirements and receivedcertification from the appropriate American or Canadian board.A “†” next to a providers name indicates that the provider is not accepting new patients.A “ ” next to a providers name indicates that the provider speaks Spanish.BCBSAZ PPO Statewide - Medical / Dental1

Table of ContentsAjo.Amado.Anthem.Apache Junction.Arivaca.Ash Fork.Avondale.Bagdad.Benson.Bisbee.Black Canyon City.Bouse.Buckeye.Bullhead City.Cameron.Camp Verde.Carefree.Casa Grande.Catalina.Cave Creek.Chandler.Chinle.Chino Valley.Clarkdale.Claypool.Clifton.Colorado City.Concho.Congress.Coolidge.Cornville.Corona De Tucson.Cottonwood.Dewey.Dolan Springs.Douglas.Duncan.Eagar.El 0120120121Eloy.Flagstaff.Florence.Fort Defiance.Fort McDowell.Fort Mohave.Fountain Hills.Fredonia.Ganado.Gila Bend.Gilbert.Glendale.Globe.Gold Canyon.Golden Valley.Goodyear.Grand Canyon.Green Valley.Guadalupe.Happy n.Lake Havasu City.Lakeside.Laveen.Litchfield a.Miami.Mohave Valley.Morenci.Munds 8328330338338436436437437

Table of ContentsNew River.Nogales.Oracle.Oro Valley.Overgaard.Page.Paradise Valley.Parker.Patagonia.Payson.Peach .Polacca.Portal.Prescott.Prescott Valley.Quartzsite.Queen Creek.Rimrock.Rio Rico.Sacaton.Safford.Sahuarita.Saint Johns.Saint Michaels.Salome.San Luis.San Manuel.San Simon.San Tan 779783783872877877Show Low. 878Sierra Vista. 884Snowflake. 894Somerton. 895Sonoita. 896Spring Valley. 896Springerville. 896Strawberry. 898Sun City. 898Sun City West. 913Sun Lakes. 928Superior. 929Surprise. 930Taylor. 948Tempe. 948Thatcher. 976Tolleson. 976Tombstone. 977Tonto Basin. 977Tuba City. 977Tubac. 981Tucson. 981Vail. 1110Waddell. 1111Wellton. 1111Whiteriver. 1111Wickenburg. 1112Willcox.1114Williams.1116Window Rock. 1116Winslow.1116Yarnell. 1118Young. 1118Youngtown.1118Yucca. 1119Yuma. 1119Index. I-1

For the following out-of-state providers,services and supplies are available by phone.Name / Provider #Specialty / Phone #ADVANCED CARDIO SERVICESDurable Medical Equipment(866) 416-8989ADVANCED RESPIRATORY INCDurable Medical Equipment(800) 426-4224AMEDA DIRECTDurable Medical Equipment(337) 326-5479APNICURE INCDurable Medical Equipment(650) 361-9300ARP WAVE LLCDurable Medical Equipment(952) 431-9708ARRIVA MEDICAL LLCDurable Medical Equipment(888) 216-3576BETTER LIVING NOW INCDurable Medical Equipment(800) 854-5729BIOVENTUS LLCDurable Medical Equipment(800) 396-4325BREG INCDurable Medical Equipment(800) 897-2734BYRAM HEALTHCARE CENTERS INCDurable Medical Equipment(877) 902-9726CCS MEDICALDurable Medical Equipment(972) 773-4384DEXCOM INCDurable Medical Equipment(858) 200-0200DIABETES CARE CLUB LLCDurable Medical Equipment(800) 883-0608EBI LPDurable Medical Equipment(800) 526-2579ELECTROMED INCDurable Medical Equipment(952) 758-9299EXPRESS RX LLCDurable Medical Equipment/Orthotics/Prosthetics(281) 619-2050INFUSYSTEMDurable Medical Equipment(800) 962-9656INSULET CORPORATIONDurable Medical Equipment(781) 457-5000JACE SYSTEMSDurable Medical Equipment(800) 800-4276KINEX MEDICAL COMPANY LLCDurable Medical Equipment/Orthotics(800) 845-6364KOLOB OXYGEN & MEDICAL EQUIPMENTDurable Medical Equipment(435) 673-6664LIBERATOR MEDICAL SUPPLYDurable Medical Equipment/Prosthetics(800) 323-0914LIBERTY MEDICAL SUPPLY INCDurable Medical Equipment(888) 306-7337

For the following out-of-state providers,services and supplies are available by phone.Name / Provider #Specialty / Phone #MAJOR MEDICALDurable Medical Equipment(505) 863-5220MEDELA INCDurable Medical Equipment(800) 435-8316MP TOTALCARE MEDICAL INCDurable Medical Equipment(800) 722-2604ORTHOFIX INCDurable Medical Equipment/Orthotics(214) 937-2000OUTPATIENT INFUSION SYSTEMSDurable Medical Equipment(678) 513-3849RESPIRATORY TECHNOLOGIES INCDurable Medical Equipment(651) 379-8999RS MEDICALDurable Medical Equipment(800) 683-0353SMITH & NEPHEW INCDurable Medical Equipment(800) 821-5700SOUND HEALTH MEDICAL SUPPLYDurable Medical Equipment(888) 909-6863STERLING MEDICAL SERVICES LLCDurable Medical Equipment(800) 216-5500WALGREEN MEDICAL SUPPLYDurable Medical Equipment(888) 410-5779WRIGHT THERAPY PRODUCTS INCDurable Medical Equipment(800) 631-9535YUMMY MUMMY LLCDurable Medical Equipment(212) 879-2180ZOLL LIFECOR CORPORATIONDurable Medical Equipment(412) 968-3333PREMIER HEARING CENTERHearing Aid Dispenser(505) 821-6715ACCREDO HEALTH GROUP INCNashville, TNHome Infusion Care(800) 800-6606ACCREDO HEALTH GROUP INCWarrendale, PAHome Infusion Care(888) 200-2811AXELACARE HEALTH SOLUTIONS LLCHome Infusion Care(877) 342-9352AEGIS SCIENCES CORPORATIONLaboratories(615) 760-2863AIT LABORATORIESLaboratories(317) 715-8996ALERE TOXICOLOGY SERVICES INCLaboratories(513) 610-9955ALLERMETRIX INCLaboratories(615) 599-4100

For the following out-of-state providers,services and supplies are available by phone.Name / Provider #Specialty / Phone #AMBRY GENETICS CORPORATIONLaboratories(949) 900-5500AMERITOX LTDLaboratories(336) 387-7600APP UNIPATH LLCLaboratories(303) 512-0888ARUP LABORATORIES INCLaboratories(801) 583-2787ASSURED TOXICOLOGY SOLUTIONS LLCLaboratories(321) 710-3405ATHEROTECH INCLaboratories(205) 314-7183BIO REFERENCE LABORATORIES INCLaboratories(800) 229-5227BOSTWICK LABORATORIES INCEl Paso, TXLaboratories(915) 584-2384BOSTWICK LABORATORIES INCGlen Allen, VALaboratories(804) 967-9225BOSTWICK LABORATORIES INCUniondale, NYLaboratories(516) 512-5200BRLI GENPATH DIAGNOSTICS INCLaboratories(800) 627-1479CALLOWAY LABORATORIESLaboratories(781) 224-9899CLARIENT DIAGNOSTIC SERVICESLaboratories(949) 425-5700CLINICAL REFERENCE LABORATORYLaboratories(913) 693-5408COUNSYL INCLaboratories(650) 515-3356DAVITA LABSLaboratories(800) 688-4522DAVITA LABORATORY SVCS INCLaboratories(386) 738-1809DIATHERIX LABORATORIES INCLaboratories(866) 979-4242DOMINION DIAGNOSTICS LLCLaboratories(401) 667-0800ECARDIO DIAGNOSTICS LLCLaboratories(888) 747-4701ESOTERIX GENETIC LABORATORIES LLCLos Angeles, CALaboratories(310) 689-0610ESOTERIX GENETIC LABORATORIES LLCMonrovia, CALaboratories(626) 471-9922

For the following out-of-state providers,services and supplies are available by phone.Name / Provider #Specialty / Phone #ESOTERIX GENETIC LABORATORIES LLCNew York, NYLaboratories(212) 698-0300ESOTERIX GENETIC LABORATORIES LLCSanta Fe, NMLaboratories(505) 438-1111ESOTERIX GENETIC LABORATORIES LLCWestborough, MALaboratories(508) 898-9001GENOMIC HEALTH INCLaboratories(866) 662-6897MEDICAL DIAGNOSTICS LABORATORIESLaboratories(877) 269-0090MEDTOX LABORATORIES INCLaboratories(800) 832-3244MILLENNIUM LABORATORIES INCLaboratories(877) 451-3534MIRACA LIFE SCIENCES INCLaboratories(888) 440-7284MIRACA LIFE SCIENCES INCIrving, TXLaboratories(800) 979-8292MYRIAD GENETIC LABORATORIES INCLaboratories(801) 584-3600NATURAL MOLECULAR TESTING CORPLaboratories(888) 442-8881NEOGENOMICS LABORATORIESLaboratories(866) 776-5907PACIFIC TOXICOLOGY LABORATORIESLaboratories(818) 598-3110PERKIN ELMER LABORATORIES INCLaboratories(631) 425-0800PHARMASAN LABS INCLaboratories(715) 294-2144PHYSICIANS CHOICE LAB SERVICESLaboratories(855) 900-2927POPLAR HEALTHCARE PLLCLaboratories(888) 274-7956PROGENITY INCLaboratories(734) 994-4416PROPATH SERVICES LLPLaboratories(214) 638-2000RESPONSE GENETICS INCLaboratories(323) 224-3900SEQUENOM CNTR FOR MOLECULAR MEDGrand Rapids MILaboratories(616) 284-3736SEQUENOM CNTR FOR MOLECULAR MEDSan Diego, CALaboratories(877) 821-7266SEROLABLaboratories(800) 365-1700

For the following out-of-state providers,services and supplies are available by phone.Name / Provider #Specialty / Phone #SPECTRA EAST INCLaboratories(800) 522-4662SPECTRA LABORATORIES INCLaboratories(800) 433-3773THERANOS INCLaboratories(650) 838-9292US TOXICOLOGY LLCLaboratories(972) 432-6546WEST COAST PATHOLOGY LABSLaboratories(510) 662-5200CARDIONET INCMedical Supply, Event Monitoring(866) 426-4402LIFEWATCH INCPhiladelphia, PAMedical Supply, Event Monitoring(215) 496-0706LIFEWATCH INCRosemont, ILMedical Supply, Event Monitoring(877) 774-9846LIFEWATCH INCSan Francisco, CAMedical Supply, Event Monitoring(415) 344-0259REMOTE CARDIAC SERVICESMedical Supply, Event Monitoring(800) 367-1095NIPRO DIABETES SYSTEMSMedical Supply, Insulin Pumps/Medical Supply, Soft GoodsMemphis, TN(901) 433-8303NIPRO DIABETES SYSTEMSMedical Supply, Insulin Pumps/Medical Supply, Soft GoodsMirimar, FL(954) 677-9201ROCHE HEALTH SOLUTIONS INCMedical Supply, Insulin Pumps(800) 280-7801ENER G FOODS INCMedical Supply, Medical Foods(800) 331-5222DCRX INFUSIONMedical Supply, Soft Goods(954) 473-4717EDGEPARK MEDICAL SERVICESMedical Supply, Soft Goods(800) 321-0591DJO LLCOrthotics(800) 321-9549BIO RX LLCSpecialty Pharmacy(866) 442-4679BIOFUSION INCSpecialty Pharmacy(866) 202-9552BIOMED PHARMACEUTICALSSpecialty Pharmacy(610) 586-2311BIOSCRIP PHARMACY SVCSSpecialty Pharmacy(877) 842-5097BRIOVA SPECIALTY PHARMACYSpecialty Pharmacy(866) 618-6741CAREMARK LLCSpecialty Pharmacy(800) 318-6108Bartlett, TN

For the following out-of-state providers,services and supplies are available by phone.Name / Provider #Specialty / Phone #CAREMARK LLCSpecialty Pharmacy(800) 447-4791Fairfield, NJCAREMARK LLCLenexa, KSCAREMARK LLCMilford, MACAREMARK LLCMt Prospect, ILCAREMARK LLCNorthbrook, ILCAREMARK LLCRaleigh, NCCAREMARK LLCRedlands, CACAREMARK LLCTampa, FLCAREMARK LLCTroy, MISpecialty Pharmacy(800) 360-0520Specialty Pharmacy(800) 950-2688Specialty Pharmacy(877) 408-9742Specialty Pharmacy(847) 559-4700Specialty Pharmacy(800) 571-3922Specialty Pharmacy(909) 796-7171Specialty Pharmacy(800) 869-2407Specialty Pharmacy(800) 753-2777CENTRIC HEALTH RESOURCES INCSpecialty Pharmacy(636) 519-2400COMMUNITY HEALTHCARE SERVICE INCSpecialty Pharmacy(877) 616-1247CORAMRX LLCSpecialty Pharmacy(484) 615-1000CRESCENT HEALTHCARE INCSpecialty Pharmacy(877) 872-4844CURA SCRIPT INCSpecialty Pharmacy(925) 251-0218CVS CAREMARKSpecialty Pharmacy(800) 238-7828NUFACTOR INCSpecialty Pharmacy(800) 323-6832ORSINI PHARMACEUTICAL SVCSSpecialty Pharmacy(847) 879-9550PACIFIC PULMONARY SERVICESSpecialty Pharmacy(661) 632-1979PENTEC HEALTH INCSpecialty Pharmacy(800) 223-4376US BIOSERVICESSpecialty Pharmacy(800) 809-0647WALGREENS SPECIALTY PHARMACYBeaverton, ORSpecialty Pharmacy(866) 202-4014WALGREENS SPECIALTY PHARMACYCarnegie, PASpecialty Pharmacy(888) 347-3416

AjoAjoProvider ListingAmbulance CompaniesAjo Ambulance Inc1850 N Ajo Gila Bend HwyAjo 85321520-387-5154Cardiovascular Disease Askari, Ali A, MD410 N Malacate StAjo 85321602-277-6181Chiropractic Olsen, Eric J, DC410 N Malacate StAjo 85321520-578-8000Dentistry, GeneralLim, Jennifer K, DDS410 Malacate St Bldg BAjo 85321520-387-5651Family Practice Lee, Allen B, DO410 N Malacate StAjo 85321520-387-5651Reams, Richard K, MD410 N Malacate StAjo 85321520-387-5651Internal Medicine Askari, Ali A, MD410 N Malacate StAjo 85321602-277-6181Licensed Marriage andFamily TherapyHolbrook, Patricia L, LMFT410 N Malacate StAjo 85321520-387-5651Licensed ProfessionalCounselorGuinn Lahm, Susan L, LPC410 Malacate StAjo 85321520-387-5651 Indicates provider is board certified2OptometryAdult Nurse Practitioner Bray, Daniel S, ODKelly, LuAnne T, ANP24 N Plaza StAjo 85321520-387-7833Rickman, Mary J, ANP3624 W Anthem Way Ste C100Anthem 85086602-867-8644PodiatryUdupa, Tharesh , DPM410 N Malacate StAjo 85321520-387-5651Sargent, Therese J, ANP3624 W Anthem Way Ste C100Anthem 85086602-867-8644Solodky, Carrie B, ANP3624 W Anthem Way Ste C100Anthem 85086602-867-8644AmadoProvider ListingFamily PracticeSuarez, Christina L, ANP3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Miller, Laura K, MD28720 S Nogales HwyAmado 85645520-407-5510Victor, Teri , ANP3624 W Anthem Way Ste C100Anthem 85086602-867-86445000 E Arivaca RdAmado 85645520-625-3502 Wuehrmann, Barbara L, MD28720 S Nogales HwyAmado 85645520-407-5510Federally Qualified HealthCenterUnited Community HealthCenter28720 S Nogales HwyAmado 85645520-407-5510Yannotta, Doreen A, ANP42104 N Venture Dr Ste D118Anthem 85086623-879-6000Allergy & Immunology Alasaly, Housam , MD41810 N Venture Dr Bldg E Ste156Anthem 85086602-242-4592 Habib Khazen, Fadia K, MD5000 E Arivaca RdAmado 85645520-625-350241810 N Venture Dr Bldg E Ste156Anthem 85086602-242-4592AnthemProvider ListingAnesthesiologyAdult Nurse PractitionerCunningham, Claire M, ANP34975 N North Valley Pkwy Ste100Anthem 85086623-295-48203648 W Anthem Way Blvd SteA100Anthem 85086623-434-6444Kelly, LuAnne T, ANP3648 W Anthem Way Blvd BldgA100Anthem 85086623-434-6444 Braun, Susan L, MD3624 W Anthem Way Ste C116Anthem 85086480-609-9300Duran, Michael G, MD3624 W Anthem Way Ste C116Anthem 85086480-609-9300 Hull, Jeffrey F, DO3624 W Anthem Way Ste C116Anthem 85086480-609-9300† Indicates provider is not taking new patientsAugust 2014Anesthesiology Lytle, Michael F, MD3624 W Anthem Way Ste C116Anthem 85086480-609-9300 Tillman, Daniel , MD3624 W Anthem Way Ste C116Anthem 85086480-609-9300Umphlett, Derrick , MD3624 W Anthem Way Ste C116Anthem 85086480-609-9300AudiologyHear In Arizona LLC42104 N Venture Dr Ste B102Anthem 85086602-290-9711Cardiovascular Disease Anand, Kishlay , MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Bear, Robert S, DO3624 W Anthem Way Ste C100Anthem 85086602-867-8644Bhakta, Mayurkumar D, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644Bhatia, Nisha L, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Bochna, Anthony J, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Brennan, Edmund J, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Chen, Kent Y, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Damian, Andrei , MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Indicates provider speaks Spanish

AnthemCardiovascular Disease Duong, Paul Ngoc Minh, MD42104 N Venture Dr Ste D118Anthem 85086623-879-6000Espinosa, Renee D, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Geohas, Chris T, MD3624 W Anthem Way Ste C108Anthem 85086602-867-8644 Gupta, Ashish , MDCardiovascular Disease Okagawa, Rick , MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644Paik, George Y, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Pozun, Anthony C, DO3624 W Anthem Way Ste C100Anthem 85086602-867-86443624 W Anthem Way Ste C100Anthem 85086602-867-8644 Prasad, Jan , MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644Harris, Michelle M, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644Rafael, Allen , MD3648 W Anthem Way Ste 100Anthem 85086623-434-6444Karnik, Rahool , MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644Raniolo, John S, DO42104 N Venture Dr Ste D118Anthem 85086623-879-6000 Khera, Gordi S, MD3624 W Anthem Way Ste A100Anthem 85086602-867-8644 Klag, Joseph V, DO3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Le, Phuc (Camille) , MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Lin, David A, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8677 Mehta, Nirav J, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Nguyen, Tri M, MD42104 N Venture Dr Ste D118Anthem 85086623-879-6000Ray, Indraneil , MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Reinfeld, Allan R, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Sommers, Alan B, DO3624 W Anthem Way Ste C100Anthem 85086602-867-8644Stearns, Danielle A, DO3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Thames, Marc D, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Tran, Andy HT, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644Cardiovascular DiseaseUgol, Lee M, MD3648 W Anthem Way Blvd Ste100Anthem 85086623-434-6444Waram, Kethes C, MD42104 N Venture Court SteD118Anthem 85086623-879-6000 Win, Aye Thandar , MD3624 W Anthem Way Ste A100Anthem 85086602-867-8644ChiropracticBonavito Larragoite, Gina M,DC3624 W Anthem Way Ste C110Anthem 85086623-551-9950Karvanek, Cynthia L, DC41818 N Venture Dr Ste 110Anthem 85086602-993-2400Larragoite, Lawrence J, DC3624 W Anthem Way Ste C110Anthem 85086623-551-9950Clinical CardiacElectrophysiology Anand, Kishlay , MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644 Brennan, Edmund J, MD3624 W Anthem Way Ste C100Anthem 85086602-867-8644Dentistry, GeneralCall, Brent C, DMD42101 N Venture Dr Ste E103Anthem 85086623-551-9200Flowers, Darren L, DMD3618 W Anthem Way Ste D132Anthem 85086623-551-8000Holley, Richard , DDS4122 W Innovative DrAnthem 85086623-465-2120 Indicates provider is board certified† Indicates provider is not taking new patientsBCBSAZ PPO Statewide - Medical / DentalDentistry, GeneralJacobsen, Luke , DDS2805 W Carefree Hwy Ste 101Anthem 85086623-492-0300 Owtad, Pouria , DMD3668 W Anthem Way Ste 162Anthem 85086623-551-7500 Rama, Adri J, DDS3668 W Anthem Way Ste 162Anthem 85086623-551-7500Vogel, Peter L, DDS4205 W Anthem Way Ste 106Anthem 85086623-551-5250Wolf, Frank W, DDS42104 N Venture Dr Ste B134Anthem 85086623-551-6300Dentistry, PediatricSheppard, Gregory B, DDS3618 W Anthem Way Ste D104Anthem 85086623-551-2992DermatologyAveritte, Richard L, MD41810 N Venture Dr Bldg D SteD136Anthem 85086480-556-0446 Barr, Jason A, DO41810 N Venture Dr Bldg D SteD136Anthem 85086480-556-0446Blumetti, Brooke L, DO41810 N Venture Dr Bldg D SteD136Anthem 85086480-556-0446 Egnatios, Genevieve L, MD41810 N Venture Dr Ste D136Anthem 85086480-556-0446 Jeffy, Brooke G, MD41810 N Venture Dr Bldg D SteD136Anthem 85086480-556-0446 Indicates provider speaks Spanish3

AnthemDermatologyLam, Travis S, DO41810 N Venture Dr Bldg D SteD136Anthem 85086480-556-0446 Layton, Debi B, MD41810 N Venture Dr Bldg D SteD136Anthem 85086480-556-0446 Lin, Christine C, MD41810 N Venture Dr Ste D136Anthem 85086480-556-0

Name / Provider # Specialty / Phone # ADVANCED CARDIO SERVICES Durable Medical Equipment (866) 416-8989 ADVANCED RESPIRATORY INC Durable Medical Equipment (800) 426-4224 AMEDA DIRECT Durable Medical Equipment (337) 326-5

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