# AMERICAN FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1477908085
- **Authorized official:** ALEJANDRO E LOPEZ MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (602) 283-5732

## Contact information

- **Practice address:** 1514 W THOMAS RD, PHOENIX, AZ 85015-6101
- **Practice address phone:** (602) 283-5732
- **Practice address fax:** (602) 314-4579
- **Mailing address:** 1514 W THOMAS RD, PHOENIX, AZ 85015-6101
- **Mailing address phone:** (602) 283-5732
- **Mailing address fax:** (602) 314-4579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 07/21/2022
