| Future Family Medicine Pllc | |
|
1140 S San Jose Suite B Mesa AZ 85202-3879 | |
| (480) 833-1859 | |
| (480) 833-3298 |
| Full Name | Future Family Medicine Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1140 S San Jose, Mesa, Arizona |
| Authorized Official Name and Position | Warren Tripp (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4808331859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Future Family Medicine Pllc 4050 W Ray Rd Suite #17-186 Chandler AZ 85226-7256 Ph: (480) 833-1859 | Future Family Medicine Pllc 1140 S San Jose Suite B Mesa AZ 85202-3879 Ph: (480) 833-1859 |
| NPI Number | 1770752115 |
|---|---|
| Provider Enumeration Date | 02/29/2008 |
| Last Update Date | 02/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770752115 | NPI | - | NPPES |
| 365404 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Arizona) | Primary |
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