Healthcare Provider Details

I. General information

NPI: 1922204155
Provider Name (Legal Business Name): WESTVIEW FAMILY MEDICINE, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 02/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13065 W MCDOWELL RD A-105
AVONDALE AZ
85323-6439
US

IV. Provider business mailing address

P.O. BOX 7310
PHOENIX AZ
85011-7310
US

V. Phone/Fax

Practice location:
  • Phone: 623-536-6788
  • Fax: 623-536-9288
Mailing address:
  • Phone: 623-536-6788
  • Fax: 623-536-9288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number23025
License Number StateAZ

VIII. Authorized Official

Name: SALLY JO ANN GARCIA
Title or Position: OFFICE MANAGER
Credential:
Phone: 623-536-6788