# FAMILY HEALTH CENTER OF EAST VALLEY PLLC

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

## Provider details

- **NPI number:** 1699945675
- **Authorized official:** BENEDICT BOGNOT DAYRIT M.D. (OWNER)
- **Authorized official phone:** (480) 325-0905

## Contact information

- **Practice address:** 6952 E BROADWAY RD, SUITE 101, MESA, AZ 85208-1974
- **Practice address phone:** (480) 325-0905
- **Practice address fax:** (480) 325-6661
- **Mailing address:** 6952 E BROADWAY RD, SUITE 101, MESA, AZ 85208-1974
- **Mailing address phone:** (480) 325-0905
- **Mailing address fax:** (480) 325-6661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 26127 | AZ | Yes |

## Other

- **Enumeration date:** 03/06/2008
- **Last updated:** 04/04/2008