Auc Surprise Family Care LLC
Family Medicine in Surprise, AZ. Organization (NPI-2).
NPI number1043218787
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1043218787
- Entity type
- Organization (NPI-2)
- Legal business name
- Auc Surprise Family Care LLC
- Organization subpart
- No
- Enumeration date
- Jul 7, 2005
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 3147 | AZ | Yes |
Other names
- Surprise Family Care (Doing Business As)
Practice location
14800 W Mountain View BlvdSuite 190
Surprise, AZ 85374-4795
Phone 623-889-7199 · Fax 623-889-7198
Mailing address
5410 W Thunderbird RdSuite 101
Glendale, AZ 85306-4711
Phone 602-530-6189 · Fax 602-548-2292
Authorized official
Bill Edwards
Ceo
6025306189
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