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Organization
YOUR FAMILY PHYSICIAN PC
Active
Organization
YOUR FAMILY PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA L BIRKHOLZ MD (PRESIDENT)
(602) 833-4686
Entity
Organization
Contact information
Practice address
20860 N TATUM BLVD STE 300, PHOENIX, AZ 85050-4283
(602) 833-4686
(602) 666-4686
Mailing address
1920 E BELL RD UNIT 1156, PHOENIX, AZ 85022-6290
(602) 833-4686
(602) 666-4646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13789
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13789
LICENSE NUMBER
AZ
Enumeration date
11/02/2005
Last updated
11/21/2017
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