Nally Family Practice | |
14800 W Mountain View Blvd Suite 250 Surprise AZ 85374-4795 | |
(623) 584-7805 | |
(623) 584-7856 |
Full Name | Nally Family Practice |
---|---|
Speciality | Family Medicine |
Location | 14800 W Mountain View Blvd, Surprise, Arizona |
Authorized Official Name and Position | Adam Shane Nally (PRESIDENT/PHYSICIAN) |
Authorized Official Contact | 6235847805 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nally Family Practice 14800 W Mountain View Blvd Suite 250 Surprise AZ 85374-4795 Ph: (623) 584-7805 | Nally Family Practice 14800 W Mountain View Blvd Suite 250 Surprise AZ 85374-4795 Ph: (623) 584-7805 |
NPI Number | 1811186802 |
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Provider Enumeration Date | 10/16/2007 |
Last Update Date | 08/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811186802 | NPI | - | NPPES |
704199 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 3587 (Arizona) | Primary |
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