Arizona Vista Family Medicine, PC

Organization Active NPI Family Medicine Physician · Gilbert, AZ

NPI 1720159841 · NPPES record last updated May 14, 2008

Key facts

NPI
1720159841
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
26887 (AZ)
Legal business name
ARIZONA VISTA FAMILY MEDICINE, PC
Practice address
875 N Greenfield Rd
# 101
Gilbert, AZ 85234-5044
Phone
(480) 892-1212
Fax
(480) 892-4941
NPI assigned
Nov 11, 2006
Organization subpart
No

Authorized official

Name
Dr. Teresa Lanier, MD., PHD.
Title
President of Avfm
Phone
(480) 892-1212

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X 26887 AZ Yes
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
363A00000X 3160 AZ

Addresses

Primary practice location

875 N Greenfield Rd
# 101
Gilbert, AZ 85234-5044

Mailing address

875 N Greenfield Rd
# 101
Gilbert, AZ 85234-5044
Phone (480) 892-1212

Other providers in Gilbert, AZ

All providers in Gilbert, AZ · Family Medicine Physician in Arizona

Sources for this page

Verify at the official NPI Registry.