# MERCY CENTRE FOR FAMILY HEALTH PC

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

## Provider details

- **NPI number:** 1497065346
- **Authorized official:** FRED LEE GOLDBLATT DO (OWNER)
- **Authorized official phone:** (602) 418-5289

## Contact information

- **Practice address:** 10565 N TATUM BLVD, SUITE D-137, PARADISE VALLEY, AZ 85253-1095
- **Practice address phone:** (602) 418-5289
- **Mailing address:** PO BOX 090110, MILWAUKEE, WI 53209-0110
- **Mailing address phone:** (414) 247-9005
- **Mailing address fax:** (414) 247-9004

## Taxonomy

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

## Other

- **Enumeration date:** 10/13/2010
- **Last updated:** 10/13/2010