Organization · NPI-2

Arizona Doctors, LLC

Family Medicine · Peoria, AZ

NPI number1033507033
StatusActive
Last updated in NPPESApr 29, 2022

Details

NPI
1033507033
Entity type
Organization (NPI-2)
Legal business name
Arizona Doctors, LLC
Organization subpart
No
Enumeration date
Dec 30, 2014
Certification date
Apr 29, 2022
Last updated
Apr 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Other names

  • Md24 Arizona, INC (Former Legal Business Name)

Practice location

6739 W Cactus Rd
Peoria, AZ 85381-5311

Phone 623-240-1110 · Fax 623-889-0814

Mailing address

6739 W Cactus Rd
Peoria, AZ 85381-5311

Phone 623-240-1110 · Fax 623-889-0814

Authorized official

Keqiang Shen
Chief Clinician Officer
6026264473

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