| NPI | 1063277564 | 
|---|---|
| Doing Business As | PHOENIX FAMILY MEDICAL CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | SACHIN DIDDEE Credentialing 602-773-5600  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine | 
| Enumeration Date | 2024-02-14 | 
| Last Update Date | 2024-02-14 |