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Organization
ARIZONA PRIMARY CARE PHYSICIANS, LLC
Active
Organization
ARIZONA PRIMARY CARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLUE BECKHAM (EXECUTIVE VICE PRESIDENT)
(623) 215-9452
Entity
Organization
Contact information
Practice address
5620 W THUNDERBIRD RD, SUITE F-1, GLENDALE, AZ 85306-4636
(623) 215-9432
(602) 735-3796
Mailing address
16155 N 83RD AVE, SUITE 201, PEORIA, AZ 85382-5815
(623) 215-9432
(602) 735-3796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DV5855
RAILROAD MEDICARE PTAN
AZ
01
—
Z174630
MEDICARE PTAN
AZ
Enumeration date
06/18/2014
Last updated
07/14/2015
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