Physician Management Services Of Arizona II, LLC
Family Medicine in Chandler, AZ. Organization (NPI-2).
NPI number1962019844
StatusActive
Last updated in NPPESSep 25, 2020
Details
- NPI
- 1962019844
- Entity type
- Organization (NPI-2)
- Legal business name
- Physician Management Services Of Arizona II, LLC
- Organization subpart
- Yes
- Enumeration date
- Sep 25, 2020
- Certification date
- Sep 25, 2020
- Last updated
- Sep 25, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
333 N Dobson Rd Ste 15Chandler, AZ 85224-4412
Phone 888-829-8550
Mailing address
3113 Lawton Rd Ste 250Orlando, FL 32803-3517
Phone 888-829-8550
Authorized official
Brett Kenefick
President
8888298550
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