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NPI Code Detail

MEDICARE: NEW RIVER FAMILY PRACTICE, PLLC

MEDICARE: NEW RIVER FAMILY PRACTICE, 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 Physician4359AZ

General Provider Information

NPI Number : 1871721688
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW RIVER FAMILY PRACTICE, PLLC
Provider Business Mailing Address
First Line : 46641 N BLACK CANYON HWY
Second Line : #5
City : NEW RIVER
State : AZ
Zip : 85087-6941
Country : US
Telephone Number : 623-465-8810
Fax Number : 623-465-1561
Provider Business Practice Location Address
First Line : 46641 N BLACK CANYON HWY
Second Line : #5
City : NEW RIVER
State : AZ
Zip : 85087-6941
Country : US
Telephone Number : 623-465-8810
Fax Number : 623-465-1561
Authorized Official
Title or Position : OWNER
Name : DR. STEPHEN CURTIS HAMMETT
Credential : D.O.
Telephone Number : 623-465-8810
Provider Enumeration Date : 06/30/2009
Last Update Date : 06/30/2009

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Directions to “NEW RIVER FAMILY PRACTICE, PLLC ” Practice Location

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