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DOUGLAS FAMILY CARE PLLC NPI 1457676611


NPI Information

NPI: 1457676611
Provider Name: DOUGLAS FAMILY CARE PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D1076482

Address:
1906 E 11TH ST
DOUGLAS, AZ
ZIP 85607
Phone: (520) 364-1120
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DOUGLAS FAMILY CARE PLLC is a family medicine in Douglas, 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. DOUGLAS FAMILY CARE PLLC NPI is 1457676611. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1906 E 11TH ST
DOUGLAS, AZ
ZIP 85607-413
Phone: (520) 364-1120
Fax: (520) 364-6417

The provider's authorized official is Alfred P Wu .
The authorized official title is President and has the following contact phone number (520) 364-1120.

The CLIA number assigned to this NPI record is 03D1076482 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/31/2010 and was last updated on 2/15/2012.


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
1207Q00000XFamily Medicine17078ARIZONAYes

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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