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1144206541
HOMEWOOD FAMILY MEDICINE PLLC
MESA, AZ
NPI
1144206541
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Entity Type
Organization
Authorized Contact
RUSSELL JAY HOMEWOOD
Owner
480-558-4700
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 3268)
Enumeration Date
2005-12-16
Last Update Date
2007-10-18
Business Address
HOMEWOOD FAMILY MEDICINE PLLC
4540 E BASELINE RD #113
MESA, AZ 85206-4613
Phone number: 480-558-4700
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Mailing Address
HOMEWOOD FAMILY MEDICINE PLLC
PO BOX 1927
GILBERT, AZ 85299-1927
Phone number: 480-558-4700
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