MEDICARE: PHOENICIAN FAMILY MEDICINE

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
1	207Q00000X	Family Medicine Physician	006374	AZ

General Provider Information

NPI Number	:	1780054759
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHOENICIAN FAMILY MEDICINE

Provider Business Mailing Address
First Line	:	5114 W PEORIA AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-1618
Country	:	US
Telephone Number	:	623-979-0309
Fax Number	:

Provider Business Practice Location Address
First Line	:	5114 W PEORIA AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85302-1618
Country	:	US
Telephone Number	:	623-979-0309
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MD
Name	:	SCOTT MARQUARD
Credential	:	MD
Telephone Number	:	623-979-0309

Provider Enumeration Date	:	10/02/2015
Last Update Date	:	10/02/2015

Similar Medicare Providers

1114920659 — DEBBY BAKER D.C.
Practice Location Address:

5128 W PEORIA AVE
GLENDALE, AZ
85302-1618

Practice Phone: 623-878-0600
Practice Fax: 623-878-0623

1972523926 — DR. MICHAEL J MASSOFF D.C.
Practice Location Address:

5128 W PEORIA AVE
GLENDALE, AZ
85302-1618

Practice Phone: 623-878-0600
Practice Fax: 623-878-6278

1942384722 — HEALTHSOURCE OF CENTRAL GLENDALE, P.C.
Practice Location Address:

5128 W PEORIA AVE
GLENDALE, AZ
85302-1618

Practice Phone: 623-878-0600
Practice Fax: 623-878-6278

1821602715 — SHEITELMAN MEDICAL GLENDALE
Practice Location Address:

5128 W PEORIA AVE
GLENDALE, AZ
85302-1618

Practice Phone: 623-214-7600
Practice Fax: 623-614-7662

1396410304 — MEGAN C. SEGRAVES LPC
Practice Location Address:

6151-6153 W OLIVE AVE
GLENDALE, AZ
85302-4598

Practice Phone: 602-685-6000
Practice Fax: 602-389-3599

1588667661 — MR. CRAIG BAILEY PT, DPT
Practice Location Address:

8811 N 51ST AVE , STE 102
GLENDALE, AZ
85302-4949

Practice Phone: 623-915-2726
Practice Fax: 623-915-2728

Directions to “PHOENICIAN FAMILY MEDICINE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.