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NEW IMAGE FAMILY MEDICINE LLC NPI 1215012646


NPI Information

NPI: 1215012646
Provider Name: NEW IMAGE FAMILY MEDICINE LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
13838 S 46TH PL
SUITE 120
PHOENIX, AZ
ZIP 85044
Phone: (480) 705-0480
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NEW IMAGE FAMILY MEDICINE LLC is a family medicine in Phoenix, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NEW IMAGE FAMILY MEDICINE LLC NPI is 1215012646. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

13838 S 46TH PL
SUITE 120
PHOENIX, AZ
ZIP 85044-800
Phone: (480) 705-0480
Fax: (480) 705-0481

The provider's authorized official is Philo A Rogers .
The authorized official title is Owner and has the following contact phone number (480) 705-0480.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 11/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeNo
2207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G10229MEDICARE UPINARIZONA
2Z113148MEDICARE PINARIZONA
3=========OTHERARIZONAEIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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