Ark Family Health North Peoria PLLC
Family Medicine in Peoria, AZ. Organization (NPI-2).
NPI number1396484762
StatusActive
Last updated in NPPESJun 2, 2022
Details
- NPI
- 1396484762
- Entity type
- Organization (NPI-2)
- Legal business name
- Ark Family Health North Peoria PLLC
- Organization subpart
- No
- Enumeration date
- Jun 2, 2022
- Certification date
- Jun 2, 2022
- Last updated
- Jun 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Ark Family Health (Doing Business As)
Practice location
8514 W Deer Valley Rd Ste 100Peoria, AZ 85382-5387
Phone 623-226-8825
Mailing address
8514 W Deer Valley Rd Ste 100Peoria, AZ 85382-5387
Phone 623-226-8825
Authorized official
Kendrick O Johnson
Owner
8012340166
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