| Arizona Family Wellness Center Pllc | |
|
9515 W Camelback Rd Suite 126 Phoenix AZ 85037 | |
| (623) 772-5700 | |
| Not Available |
| Full Name | Arizona Family Wellness Center Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 9515 W Camelback Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Alan Brook Coon (OWNER) |
| Authorized Official Contact | 6237725700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Family Wellness Center Pllc 9515 W Camelback Rd Suite 126 Phoenix AZ 85037 Ph: (623) 772-5700 | Arizona Family Wellness Center Pllc 9515 W Camelback Rd Suite 126 Phoenix AZ 85037 Ph: (623) 772-5700 |
| NPI Number | 1730337213 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 04/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730337213 | NPI | - | NPPES |
| 464818 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3189 (Arizona) | Primary |
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