# P&G FAMILY PRACTICE PLLC

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

## Provider details

- **NPI number:** 1477222669
- **Authorized official:** CHETAN PATEL NP-C (OWNER)
- **Authorized official phone:** (520) 723-7726

## Contact information

- **Practice address:** 1653 E MCMURRAY BLVD STE 144A, CASA GRANDE, AZ 85122-5934
- **Practice address phone:** (480) 883-3011
- **Practice address fax:** (480) 802-3874
- **Mailing address:** 171 W CENTRAL AVE, COOLIDGE, AZ 85128-4405
- **Mailing address phone:** (520) 723-7726
- **Mailing address fax:** (520) 723-4513

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2021
- **Last updated:** 10/09/2024