| NPI | 1275651507 |
|---|---|
| Doing Business As | AZ FAMILY MEDICINE & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | LEIJA M COUNTS Manager 480-807-3554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 24575) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: AZ 24575) |
| 207Q00000X Family Medicine (Licence: AZ 26832) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-09-24 |