| Legacy Family Medical, Pc | |
|
4902 S Val Vista Dr Suite 110 Gilbert AZ 85298-7325 | |
| (480) 766-8485 | |
| (480) 689-5569 |
| Full Name | Legacy Family Medical, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4902 S Val Vista Dr, Gilbert, Arizona |
| Authorized Official Name and Position | Vicki Marquart (PRESIDENT) |
| Authorized Official Contact | 4807668485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Family Medical, Pc 4902 S Val Vista Dr Suite 110 Gilbert AZ 85298-7325 Ph: (480) 766-8485 | Legacy Family Medical, Pc 4902 S Val Vista Dr Suite 110 Gilbert AZ 85298-7325 Ph: (480) 766-8485 |
| NPI Number | 1508166620 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 05/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508166620 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 110530 (Arizona) | Primary |
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