Alpine Family Practice
Family Medicine in Surprise, AZ. Organization (NPI-2).
NPI number1316117138
StatusActive
Last updated in NPPESMar 7, 2008
Details
- NPI
- 1316117138
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpine Family Practice
- Organization subpart
- No
- Enumeration date
- Mar 7, 2008
- Last updated
- Mar 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 25970 | AZ | Yes |
Practice location
14800 W Mountain View BlvdSuite 240
Surprise, AZ 85374-4795
Phone 623-544-4667 · Fax 623-544-4668
Mailing address
Po Box 8930Surprise, AZ 85374-0132
Phone 623-544-4667 · Fax 623-544-4668
Authorized official
Rob King
Office Manager
6235444667
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