# WESTERN FAMILY MEDICINE PLLC

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

## Provider details

- **NPI number:** 1649455296
- **Authorized official:** DR. THOMAS J DAVIS MD (OWNER)
- **Authorized official phone:** (480) 222-7664

## Contact information

- **Practice address:** 2730 S VAL VISTA DR, BLDG 9 STE 152, GILBERT, AZ 85295-1675
- **Practice address phone:** (480) 222-7664
- **Practice address fax:** (480) 222-7666
- **Mailing address:** 2730 S VAL VISTA DR, BLDG 9 STE 152, GILBERT, AZ 85295-1675
- **Mailing address phone:** (480) 222-7664
- **Mailing address fax:** (480) 222-7666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 34178 | AZ | Yes |

## Other

- **Enumeration date:** 01/02/2008
- **Last updated:** 01/08/2008