# AUC SURPRISE FAMILY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surprise Family Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043218787
- **Authorized official:** MR. BILL EDWARDS MAOM (CEO)
- **Authorized official phone:** (602) 530-6189

## Contact information

- **Practice address:** 14800 W MOUNTAIN VIEW BLVD, SUITE 190, SURPRISE, AZ 85374-4795
- **Practice address phone:** (623) 889-7199
- **Practice address fax:** (623) 889-7198
- **Mailing address:** 5410 W THUNDERBIRD RD, SUITE 101, GLENDALE, AZ 85306-4711
- **Mailing address phone:** (602) 530-6189
- **Mailing address fax:** (602) 548-2292

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3147 | AZ | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 08/22/2020
