# HIGLEY FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oliveview Homefront
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366626400
- **Authorized official:** TREVOR W WHITMORE P.A. (OWNER/PHYSICIAN ASSISTANT)
- **Authorized official phone:** (480) 988-6878

## Contact information

- **Practice address:** 1425 S HIGLEY RD, SUITE 102, GILBERT, AZ 85296-4798
- **Practice address phone:** (480) 988-6878
- **Practice address fax:** (480) 988-6879
- **Mailing address:** 1425 S HIGLEY RD, SUITE 102, GILBERT, AZ 85296-4798
- **Mailing address phone:** (480) 988-6878
- **Mailing address fax:** (480) 988-6879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 2399 | AZ | Yes |

## Other

- **Enumeration date:** 12/26/2007
- **Last updated:** 06/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 228810 | — | AZ |
| 05 | — | 286791 | — | AZ |
| 05 | — | 560674 | — | AZ |