# GP MEDICINE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Health Center of Sierra Vista
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568001543
- **Authorized official:** PHILIP M LESUEUR MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (520) 459-3116

## Contact information

- **Practice address:** 1800 E WILCOX DRIVE, SIERRA VISTA, AZ 85635
- **Practice address phone:** (520) 459-3116
- **Practice address fax:** (520) 459-7397
- **Mailing address:** 1800 E WILCOX DRIVE, SIERRA VISTA, AZ 85635
- **Mailing address phone:** (520) 459-3116
- **Mailing address fax:** (520) 459-7397

## Taxonomy

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

## Other

- **Enumeration date:** 12/23/2019
- **Last updated:** 12/23/2019