# SURPRISE FAMILY MEDICINE PLC

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

## Provider details

- **NPI number:** 1548591886
- **Authorized official:** STEVEN C HORROCKS DO (MEMBER)
- **Authorized official phone:** (623) 544-0101

## Contact information

- **Practice address:** 14239 W BELL RD, STE 225, SURPRISE, AZ 85374-2469
- **Practice address phone:** (623) 544-0101
- **Practice address fax:** (623) 544-0981
- **Mailing address:** PO BOX 9311, BELFAST, ME 04915-9311
- **Mailing address phone:** (623) 544-0101
- **Mailing address fax:** (623) 544-0981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 005062 | AZ | Yes |

## Other

- **Enumeration date:** 01/27/2010
- **Last updated:** 06/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 507833 | — | AZ |