Advanced Family Healthcare PLLC
Organization Active NPI Family Medicine Physician · Mesa, AZ
NPI 1801205331 · NPPES record last updated Aug 8, 2014
Key facts
- NPI
- 1801205331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- ADVANCED FAMILY HEALTHCARE PLLC
- Practice address
- 4121 E Valley Auto Dr
Suite # 110
Mesa, AZ 85206-4631 - Phone
- (480) 892-1122
- Fax
- (480) 892-2243
- NPI assigned
- Aug 8, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Crismon
- Title
- Managing Member
- Phone
- (480) 892-1122
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
4121 E Valley Auto Dr
Suite # 110
Mesa, AZ 85206-4631
Mailing address
4121 E Valley Auto Dr
Suite # 110
Mesa, AZ 85206-4631
Phone (480) 892-1122
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All providers in Mesa, AZ · Family Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.