# PARADISE VALLEY FAMILY MEDICINE, PC

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

## Provider details

- **NPI number:** 1598872186
- **Authorized official:** TERESA J O'BRIEN (MANAGER)
- **Authorized official phone:** (602) 494-5118

## Contact information

- **Practice address:** 11209 N TATUM BLVD, SUITE 180, PHOENIX, AZ 85028-3091
- **Practice address phone:** (602) 494-5155
- **Practice address fax:** (602) 494-5115
- **Mailing address:** 11209 N. TATUM BLVD, SUITE 180, PHOENIX, AZ 85028
- **Mailing address phone:** (602) 494-5155
- **Mailing address fax:** (602) 494-5115

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 02/11/2020