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NPI Code Detail

MEDICARE: FAMILY CARE PROVIDERS OF ARIZONA PLLC

MEDICARE: FAMILY CARE PROVIDERS OF ARIZONA 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
1207Q00000XFamily Medicine Physician19877AZ

General Provider Information

NPI Number : 1669661161
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CARE PROVIDERS OF ARIZONA PLLC
Provider Business Mailing Address
First Line : 10277 N 92ND ST
Second Line : SUITE 101
City : SCOTTSDALE
State : AZ
Zip : 85258-4564
Country : US
Telephone Number : 480-609-1444
Fax Number : 480-609-1359
Provider Business Practice Location Address
First Line : 10277 N 92ND ST
Second Line : SUITE 101
City : SCOTTSDALE
State : AZ
Zip : 85258-4564
Country : US
Telephone Number : 480-609-1444
Fax Number : 480-609-1359
Authorized Official
Title or Position : OWNER
Name : FRANCISCO PENA
Credential :
Telephone Number : 480-609-1444
Provider Enumeration Date : 10/19/2007
Last Update Date : 10/19/2007

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Directions to “FAMILY CARE PROVIDERS OF ARIZONA PLLC ” Practice Location

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