# AZ WELLNESS CLINICA FAMILIAR LLC

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

## Provider details

- **NPI number:** 1255163382
- **Authorized official:** JOSEPH GUTIERREZ MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (480) 433-9920

## Contact information

- **Practice address:** 10645 N 43RD AVE, PHOENIX, AZ 85029-3944
- **Practice address phone:** (602) 370-2920
- **Mailing address:** 10645 N 43RD AVE, PHOENIX, AZ 85029-3944

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2024
- **Last updated:** 08/16/2024