MEDICARE: FAMILY FIRST PHYSICIANS PLLC

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

General Provider Information

NPI Number	:	1649225178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY FIRST PHYSICIANS PLLC

Provider Business Mailing Address
First Line	:	2345 E SOUTHERN AVE
Second Line	:	#101
City	:	MESA
State	:	AZ
Zip	:	85204-5419
Country	:	US
Telephone Number	:	480-893-2345
Fax Number	:	480-926-0495

Provider Business Practice Location Address
First Line	:	2345 E SOUTHERN AVE
Second Line	:	#101
City	:	MESA
State	:	AZ
Zip	:	85204-5419
Country	:	US
Telephone Number	:	480-893-2345
Fax Number	:	480-926-0495

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALLEN MAX GERMAINE JR.
Credential	:	M.D.
Telephone Number	:	480-893-2345

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	06/26/2013

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Directions to “FAMILY FIRST PHYSICIANS PLLC ” Practice Location

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