# ACCESS2CARE FAMILY MEDICAL CENTER, INC.

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

## Provider details

- **NPI number:** 1467653147
- **Authorized official:** OLU ONISILE MD (PRESIDENT)
- **Authorized official phone:** (602) 690-0510

## Contact information

- **Practice address:** 4607 N 12TH ST, PHOENIX, AZ 85014-4006
- **Practice address phone:** (602) 690-0510
- **Mailing address:** 4607 N 12TH ST, PHOENIX, AZ 85014-4006
- **Mailing address phone:** (602) 690-0510

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 23710 | AZ | Yes |

## Other

- **Enumeration date:** 05/30/2007
- **Last updated:** 03/03/2008