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NPI Code Detail

MEDICARE: HEALTHY OUTLOOK FAMILY MEDICINE, PC

MEDICARE: HEALTHY OUTLOOK FAMILY MEDICINE, PC
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 Physician

General Provider Information

NPI Number : 1023161825
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALTHY OUTLOOK FAMILY MEDICINE, PC
Provider Business Mailing Address
First Line : 1835 W MISSOURI AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-3046
Country : US
Telephone Number : 602-230-0777
Fax Number : 602-230-0008
Provider Business Practice Location Address
First Line : 1835 W MISSOURI AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85015-3046
Country : US
Telephone Number : 602-230-0777
Fax Number : 602-230-0008
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : SUSAN WHITELY
Credential :
Telephone Number : 602-230-0777
Provider Enumeration Date : 01/18/2007
Last Update Date : 04/18/2023

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Directions to “HEALTHY OUTLOOK FAMILY MEDICINE, PC ” Practice Location

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