# ARIZONA VISTA FAMILY MEDICINE, PC

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

## Provider details

- **NPI number:** 1720159841
- **Authorized official:** DR. TERESA LANIER MD., PHD. (PRESIDENT OF AVFM)
- **Authorized official phone:** (480) 892-1212

## Contact information

- **Practice address:** 875 N GREENFIELD RD, \# 101, GILBERT, AZ 85234-5044
- **Practice address phone:** (480) 892-1212
- **Practice address fax:** (480) 892-4941
- **Mailing address:** 875 N GREENFIELD RD, \# 101, GILBERT, AZ 85234-5044
- **Mailing address phone:** (480) 892-1212
- **Mailing address fax:** (480) 892-4941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 26887 | AZ | Yes |
| 363A00000X | Physician Assistant | 3160 | AZ | — |

## Other

- **Enumeration date:** 11/11/2006
- **Last updated:** 05/14/2008