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Organization
ARK FAMILY HEALTH NORTH PEORIA PLLC
Active
Organization
ARK FAMILY HEALTH NORTH PEORIA PLLC
Active
Other names
Ark Family Health
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRICK O JOHNSON (OWNER)
(801) 234-0166
Entity
Organization
Contact information
Practice address
8514 W DEER VALLEY RD STE 100, PEORIA, AZ 85382-5387
(623) 226-8825
Mailing address
8514 W DEER VALLEY RD STE 100, PEORIA, AZ 85382-5387
(623) 226-8825
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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