# AMERICAN FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1184489148
- **Authorized official:** ALEJANDRO E LOPEZ (MEDICAL DIRECTOR)
- **Authorized official phone:** (832) 454-9989

## Contact information

- **Practice address:** 6502 N 35TH AVE STE 1, PHOENIX, AZ 85017-1496
- **Practice address phone:** (602) 283-5732
- **Mailing address:** 1514 W THOMAS RD, PHOENIX, AZ 85015-6101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |

## Other

- **Enumeration date:** 02/19/2024
- **Last updated:** 02/19/2024