Healthcare Provider Details

I. General information

NPI: 1437570587
Provider Name (Legal Business Name): MEDI-FIRST MEDICAL CENTER P.L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2013
Last Update Date: 03/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 E BETHANY HOME RD SUUITE A-101
PHOENIX AZ
85014-2198
US

IV. Provider business mailing address

727 E BETHANY HOME RD SUUITE A-101
PHOENIX AZ
85014-2198
US

V. Phone/Fax

Practice location:
  • Phone: 602-279-2400
  • Fax: 602-279-5890
Mailing address:
  • Phone: 602-279-2400
  • Fax: 602-279-5890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number40886
License Number StateAZ

VIII. Authorized Official

Name: DR. XUAN VU
Title or Position: MEMBER/MANAGER
Credential: M.D.
Phone: 602-770-6305