# PROACTIVE MEDICAL, PLLC

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

## Provider details

- **NPI number:** 1285079772
- **Authorized official:** DR. THOMAS F GRIFFIN MD (PRESIDENT)
- **Authorized official phone:** (520) 544-7644

## Contact information

- **Practice address:** 10425 N ORACLE RD, STE. 105, ORO VALLEY, AZ 85737-9357
- **Practice address phone:** (520) 544-7644
- **Practice address fax:** (520) 544-0548
- **Mailing address:** PO BOX 43160, TUCSON, AZ 85733-3160
- **Mailing address phone:** (520) 722-3777
- **Mailing address fax:** (520) 296-6224

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 7460 | AZ | Yes |

## Other

- **Enumeration date:** 05/09/2013
- **Last updated:** 05/14/2013
