# MOUNT GRAHAM FAMILY MEDICINE PRACTICE,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** dba Mount Graham Family Practice, P.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508072844
- **Authorized official:** BRIAN J KARTCHNER MD (PRESIDENT)
- **Authorized official phone:** (928) 428-3122

## Contact information

- **Practice address:** 1300 S. 20TH AVENUE, SAFFORD, AZ 85546
- **Practice address phone:** (928) 428-3122
- **Practice address fax:** (928) 428-7917
- **Mailing address:** 1300 S. 20TH AVENUE, SAFFORD, AZ 85546
- **Mailing address phone:** (928) 428-3122
- **Mailing address fax:** (928) 428-7917

## Taxonomy

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

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 10/02/2008