| Clinica Familiar Bella Vista | |
|
515 W Buckeye Rd Ste 303 Phoenix AZ 85003-2647 | |
| (602) 423-8956 | |
| Not Available |
| Full Name | Clinica Familiar Bella Vista |
|---|---|
| Speciality | Family Medicine |
| Location | 515 W Buckeye Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Will Innocent (OWNER) |
| Authorized Official Contact | 6024238961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Familiar Bella Vista Po Box 10176 Glendale AZ 85318-0176 Ph: (602) 423-8961 | Clinica Familiar Bella Vista 515 W Buckeye Rd Ste 303 Phoenix AZ 85003-2647 Ph: (602) 423-8956 |
| NPI Number | 1962600171 |
|---|---|
| Provider Enumeration Date | 07/10/2007 |
| Last Update Date | 07/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962600171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 32113 (Arizona) | Primary |
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