# ALPINE FAMILY PRACTICE

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

## Provider details

- **NPI number:** 1316117138
- **Authorized official:** MR. ROB KING (OFFICE MANAGER)
- **Authorized official phone:** (623) 544-4667

## Contact information

- **Practice address:** 14800 W MOUNTAIN VIEW BLVD, SUITE 240, SURPRISE, AZ 85374-4795
- **Practice address phone:** (623) 544-4667
- **Practice address fax:** (623) 544-4668
- **Mailing address:** PO BOX 8930, SURPRISE, AZ 85374-0132
- **Mailing address phone:** (623) 544-4667
- **Mailing address fax:** (623) 544-4668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 25970 | AZ | Yes |

## Other

- **Enumeration date:** 03/07/2008
- **Last updated:** 03/07/2008