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 |