# ARIZONA FAMILY PHYSICIANS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003955832
- **Authorized official:** DR. GREGORY LEE ELLISON M.D. (OWNER)
- **Authorized official phone:** (480) 897-7070

## Contact information

- **Practice address:** 2127 E BASELINE RD, 104, TEMPE, AZ 85283-1537
- **Practice address phone:** (480) 897-7070
- **Practice address fax:** (480) 897-2597
- **Mailing address:** 2127 E BASELINE RD, 104, TEMPE, AZ 85283-1537
- **Mailing address phone:** (480) 897-7070
- **Mailing address fax:** (480) 897-2597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD12426 | AZ | Yes |

## Other

- **Enumeration date:** 02/06/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1669567434 | NPI | — |
| 05 | — | 214510 | — | AZ |
| 01 | — | AZ0006680 | BLUE CROSS BLUE SHIELD | — |