# EAST VALLEY MEDICAL PARTNERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ridgeline Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316486996
- **Authorized official:** NATHAN PAYNE PA-C (CO-OWNER)
- **Authorized official phone:** (480) 444-8043

## Contact information

- **Practice address:** 4747 E ELLIOT RD, \#32, PHOENIX, AZ 85044-1627
- **Practice address phone:** (480) 444-8043
- **Mailing address:** 4747 E ELLIOT RD, \#32, PHOENIX, AZ 85044-1627

## Taxonomy

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

## Other

- **Enumeration date:** 02/16/2017
- **Last updated:** 04/14/2017