Organization · NPI-2

Advanced Family Healthcare PLLC

Family Medicine · Mesa, AZ

NPI number1801205331
StatusActive
Last updated in NPPESAug 8, 2014

Details

NPI
1801205331
Entity type
Organization (NPI-2)
Legal business name
Advanced Family Healthcare PLLC
Organization subpart
No
Enumeration date
Aug 8, 2014
Last updated
Aug 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

4121 E Valley Auto Dr
Suite # 110
Mesa, AZ 85206-4631

Phone 480-892-1122 · Fax 480-892-2243

Mailing address

4121 E Valley Auto Dr
Suite # 110
Mesa, AZ 85206-4631

Phone 480-892-1122 · Fax 480-892-2243

Authorized official

Michael Crismon
Managing Member
4808921122

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