MATILDA FAMILY MEDICINE

GLENDALE, AZ
NPI1083742449
Entity TypeOrganization
Authorized ContactVALENTINE OKON
CEO
623-435-3513
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: AZ  PA2363)
Enumeration Date2007-02-28
Last Update Date2008-07-11
Business Address
MATILDA FAMILY MEDICINE
5832 W SAN MIGUEL AVE STE 6
GLENDALE, AZ 85301-5907
Phone number: 623-435-3513
Mailing Address
MATILDA FAMILY MEDICINE
PO BOX 232
LITCHFIELD PARK, AZ 85340-0232
Phone number: 623-435-3513