# YOUR FAMILY PHYSICIAN PC

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

## Provider details

- **NPI number:** 1174514756
- **Authorized official:** KARLA L BIRKHOLZ MD (PRESIDENT)
- **Authorized official phone:** (602) 833-4686

## Contact information

- **Practice address:** 20860 N TATUM BLVD STE 300, PHOENIX, AZ 85050-4283
- **Practice address phone:** (602) 833-4686
- **Practice address fax:** (602) 666-4686
- **Mailing address:** 1920 E BELL RD UNIT 1156, PHOENIX, AZ 85022-6290
- **Mailing address phone:** (602) 833-4686
- **Mailing address fax:** (602) 666-4646

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 13789 | AZ | Yes |

## Other

- **Enumeration date:** 11/02/2005
- **Last updated:** 11/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 13789 | LICENSE NUMBER | AZ |