MARYVALE FAMILY PRACTICE GROUP INC. NPI 1831373091

NPI Information

MARYVALE FAMILY PRACTICE GROUP INC. is a clinic center in Phoenix, AZ. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MARYVALE FAMILY PRACTICE GROUP INC. NPI is 1831373091. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4700 N 51ST AVE
SUITE 6
PHOENIX, AZ
ZIP 85031-237
Phone: (623) 209-5555
Fax: (623) 247-1905

The provider's authorized official is Avetis Ordakian .
The authorized official title is President and has the following contact phone number (623) 209-5555.

The enumeration date for this NPI number is 12/24/2007 and was last updated on 4/15/2011.

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:

Other Identifiers

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

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