Your Family Physician Pc | |
20860 N Tatum Blvd Ste 300 Phoenix AZ 85050-4283 | |
(602) 833-4686 | |
(602) 666-4686 |
Full Name | Your Family Physician Pc |
---|---|
Speciality | Family Medicine |
Location | 20860 N Tatum Blvd Ste 300, Phoenix, Arizona |
Authorized Official Name and Position | Karla L Birkholz (PRESIDENT) |
Authorized Official Contact | 6028334686 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Your Family Physician Pc 1920 E Bell Rd Unit 1156 Phoenix AZ 85022-6290 Ph: (602) 833-4686 | Your Family Physician Pc 20860 N Tatum Blvd Ste 300 Phoenix AZ 85050-4283 Ph: (602) 833-4686 |
NPI Number | 1174514756 |
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Provider Enumeration Date | 11/02/2005 |
Last Update Date | 11/21/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174514756 | NPI | - | NPPES |
13789 | Other | AZ | LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13789 (Arizona) | Primary |
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