# PINNACLE FAMILY MEDICINE PLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PINNACLE FAMILY MEDICINE, PLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093590341
- **Legal business name:** PINNACLE FAMILY MEDICINE, PLC
- **Authorized official:** STACEY ENGSTROM (PRACTICE MANAGER)
- **Authorized official phone:** (623) 935-9600

## Contact information

- **Practice address:** 21753 N 77TH AVE, PEORIA, AZ 85382-2110
- **Practice address phone:** (623) 935-9600
- **Practice address fax:** (623) 935-9602
- **Mailing address:** 21753 N 77TH AVE, PEORIA, AZ 85382-2110
- **Mailing address phone:** (623) 935-9600
- **Mailing address fax:** (623) 935-9602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2023
- **Last updated:** 08/25/2023