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Organization
KACHINA FAMILY PRACTICE PA
Active
Organization
KACHINA FAMILY PRACTICE PA
Active
Other names
Kachina Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARON JOSEPH FISCHBECK MD (PRESIDENT)
(480) 706-4100
Entity
Organization
Contact information
Practice address
16611 S 40TH ST, SUITE 120, PHOENIX, AZ 85048
(480) 706-4100
(480) 706-2600
Mailing address
16611 S 40TH ST, SUITE 120, PHOENIX, AZ 85048
(480) 706-4100
(480) 706-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
01/25/2007
Last updated
04/30/2020
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