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NPI Code Detail

MEDICARE: FAMILY HEALTH CENTER OF EAST VALLEY PLLC

MEDICARE: FAMILY HEALTH CENTER OF EAST VALLEY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician26127AZ

General Provider Information

NPI Number : 1699945675
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY HEALTH CENTER OF EAST VALLEY PLLC
Provider Business Mailing Address
First Line : 6952 E BROADWAY RD
Second Line : SUITE 101
City : MESA
State : AZ
Zip : 85208-1974
Country : US
Telephone Number : 480-325-0905
Fax Number : 480-325-6661
Provider Business Practice Location Address
First Line : 6952 E BROADWAY RD
Second Line : SUITE 101
City : MESA
State : AZ
Zip : 85208-1974
Country : US
Telephone Number : 480-325-0905
Fax Number : 480-325-6661
Authorized Official
Title or Position : OWNER
Name : BENEDICT BOGNOT DAYRIT
Credential : M.D.
Telephone Number : 480-325-0905
Provider Enumeration Date : 03/06/2008
Last Update Date : 04/04/2008

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Directions to “FAMILY HEALTH CENTER OF EAST VALLEY PLLC ” Practice Location

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