# FAMILY MEDICINE & WEIGHT MANAGEMENT SPECIALTY PLLC

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

## Provider details

- **NPI number:** 1558898205
- **Authorized official:** DIANA RILEY (ADMINISTRATOR)
- **Authorized official phone:** (928) 343-7911

## Contact information

- **Practice address:** 888 W 16TH ST, YUMA, AZ 85364-4542
- **Practice address phone:** (928) 550-7000
- **Mailing address:** PO BOX 784, YUMA, AZ 85366-2335
- **Mailing address phone:** (928) 343-7911
- **Mailing address fax:** (928) 343-9528

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2017
- **Last updated:** 02/25/2020