# FIRST FAMILY MEDICAL GROUP

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

## Provider details

- **NPI number:** 1215131107
- **Authorized official:** DR. KENNETH FISHER (PROVIDER)
- **Authorized official phone:** (800) 353-5420

## Contact information

- **Practice address:** 1444 W BETHANY HOME RD, PHOENIX, AZ 85013-1624
- **Practice address phone:** (800) 353-5420
- **Practice address fax:** (866) 897-5366
- **Mailing address:** 1444 W BETHANY HOME RD, PHOENIX, AZ 85013-1624
- **Mailing address phone:** (800) 353-5420
- **Mailing address fax:** (866) 897-5366

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 08/22/2020