Organization · NPI-2

1st Care Family Medicine, LLC

Family Medicine · Buckeye, AZ

NPI number1063702934
StatusActive
Last updated in NPPESApr 13, 2011

Details

NPI
1063702934
Entity type
Organization (NPI-2)
Legal business name
1st Care Family Medicine, LLC
Organization subpart
No
Enumeration date
Apr 13, 2011
Last updated
Apr 13, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine38055AZYes

Practice location

1300 S Watson Rd Ste 104
Buckeye, AZ 85326-6264

Phone 623-251-3201 · Fax 623-251-3205

Mailing address

Po Box 11528
Goodyear, AZ 85318

Phone 623-251-3201 · Fax 623-251-3205

Authorized official

Sultan Mohammad
Owner
6232513201

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