Organization · NPI-2
Access2care Family Medical Center, INC.
Family Medicine · Phoenix, AZ
NPI number1467653147
StatusActive
Last updated in NPPESMar 3, 2008
Details
- NPI
- 1467653147
- Entity type
- Organization (NPI-2)
- Legal business name
- Access2care Family Medical Center, INC.
- Organization subpart
- No
- Enumeration date
- May 30, 2007
- Last updated
- Mar 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 23710 | AZ | Yes |
Practice location
4607 N 12th StPhoenix, AZ 85014-4006
Phone 602-690-0510
Mailing address
4607 N 12th StPhoenix, AZ 85014-4006
Phone 602-690-0510
Authorized official
Olu Onisile
President
6026900510
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