Primary Care Medical Group, LLC
General Practice in Carefree, AZ. Organization (NPI-2).
NPI number1982114385
StatusActive
Last updated in NPPESOct 11, 2017
Details
- NPI
- 1982114385
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Care Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Oct 11, 2017
- Last updated
- Oct 11, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 33789 | AZ | Yes |
Practice location
36600 N. Pima RoadSte 307
Carefree, AZ 85377
Phone 480-280-5085
Mailing address
11801 N Tatum Blvd Ste 145Phoenix, AZ 85028-1613
Authorized official
Kenneth Kearns
Owner
4802805085
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