NPI Provider: 1174514756
Contact Name: Birkholz L Karla
Position: President
Phone: (623) 561-9113
Your Family Physician Pc Information:
Your Family Physician Pc organization have npi 1174514756, taxonomy code is 207Q00000X with license number is 13789 in . This Business address located in 18700 N 64th Dr, Glendale, AZ 85308 Arizona.
Practice Location
Address: 18700 N 64th Dr, Glendale, AZ 85308
Phone: (623) 561-9113
Business Location
Address: 18700 N 64th Dr, Glendale, AZ 85308
Phone: (623) 561-9113
Fax: (623) 561-6148
Taxonomy
Taxonomy Code: 207Q00000X
License Number: 13789
License Number of State: AZ
Primary Taxonomy Switch: Y
Enumeration Date: 11/2/2005
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