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1023494192
AZ PRIVATE MD LLC
LITCHFIELD PARK, AZ
NPI
1023494192
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Entity Type
Organization
Authorized Contact
BRIAN G HAWKINS
Owner/Member
623-695-9789
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2015-07-30
Last Update Date
2015-07-30
Business Address
AZ PRIVATE MD LLC
5220 N DYSART RD SUITE 172
LITCHFIELD PARK, AZ 85340-3045
Phone number: 623-695-9789
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Mailing Address
AZ PRIVATE MD LLC
PO BOX 20490
MESA, AZ 85277-0490
Phone number: 480-985-1093
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