Healthcare Provider Details

I. General information

NPI: 1871035360
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: 11/15/2016
Last Update Date: 12/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

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

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. XUAN VU
Title or Position: MANAGER
Credential: M.D.
Phone: 602-279-2400