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1457462202
DAVID CIVIC
PHOENIX, AZ
NPI
1457462202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: AZ 42516)
Enumeration Date
2006-08-31
Last Update Date
2014-10-16
Business Address
-- DAVID CIVIC MD
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
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Mailing Address
-- DAVID CIVIC MD
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1511
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