Adam S. Nally, D.O., P.C.
Family Medicine in Surprise, AZ. Organization (NPI-2).
NPI number1811186802
StatusActive
Last updated in NPPESAug 14, 2020
Details
- NPI
- 1811186802
- Entity type
- Organization (NPI-2)
- Legal business name
- Adam S. Nally, D.O., P.C.
- Organization subpart
- No
- Enumeration date
- Oct 16, 2007
- Certification date
- Aug 14, 2020
- Last updated
- Aug 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 3587 | AZ | Yes |
Other names
- Nally Family Practice (Doing Business As)
Practice location
14800 W Mountain View BlvdSuite 250
Surprise, AZ 85374-4795
Phone 623-584-7805 · Fax 623-584-7856
Mailing address
14800 W Mountain View BlvdSuite 250
Surprise, AZ 85374-4795
Phone 623-584-7805 · Fax 623-584-7856
Authorized official
Adam Shane Nally
President/Physician
6235847805
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