# SAN TAN PRIMARY CARE PC

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

## Provider details

- **NPI number:** 1497249452
- **Authorized official:** BRIAN C ANDREWS MD (OWNER)
- **Authorized official phone:** (480) 351-7277

## Contact information

- **Practice address:** 36283 N GANTZEL RD STE 101, SAN TAN VALLEY, AZ 85140-7322
- **Practice address phone:** (480) 351-7277
- **Practice address fax:** (480) 219-5457
- **Mailing address:** 36283 N GANTZEL RD STE 101, SAN TAN VALLEY, AZ 85140-7322
- **Mailing address phone:** (480) 505-3294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/21/2018
- **Last updated:** 12/28/2020