# DOUGLAS FAMILY CARE PLLC

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

## Provider details

- **NPI number:** 1457676611
- **Authorized official:** DR. ALFRED P WU M.D. (PRESIDENT)
- **Authorized official phone:** (520) 364-1120

## Contact information

- **Practice address:** 1906 E 11TH ST, DOUGLAS, AZ 85607-2413
- **Practice address phone:** (520) 364-1120
- **Practice address fax:** (520) 364-6417
- **Mailing address:** 1906 E 11TH ST, DOUGLAS, AZ 85607-2413
- **Mailing address phone:** (520) 364-1120
- **Mailing address fax:** (520) 364-6417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 17078 | AZ | Yes |

## Other

- **Enumeration date:** 03/31/2010
- **Last updated:** 02/15/2012