| Az Private Md Llc | |
|
5220 N Dysart Rd Suite 172 Litchfield Park AZ 85340-3045 | |
| (623) 695-9789 | |
| Not Available |
| Full Name | Az Private Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5220 N Dysart Rd, Litchfield Park, Arizona |
| Authorized Official Name and Position | Brian G Hawkins (OWNER/MEMBER) |
| Authorized Official Contact | 6236959789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Private Md Llc Po Box 20490 Mesa AZ 85277-0490 Ph: (480) 985-1093 | Az Private Md Llc 5220 N Dysart Rd Suite 172 Litchfield Park AZ 85340-3045 Ph: (623) 695-9789 |
| NPI Number | 1023494192 |
|---|---|
| Provider Enumeration Date | 07/30/2015 |
| Last Update Date | 07/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023494192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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