# LIVE WELL FAMILY MEDICINE PLC

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

## Provider details

- **NPI number:** 1740698026
- **Authorized official:** NORMA L PERALES MD (OWNER)
- **Authorized official phone:** (480) 800-3561

## Contact information

- **Practice address:** 655 S DOBSON RD, SUITE B-115, CHANDLER, AZ 85224-5667
- **Practice address phone:** (480) 800-3561
- **Practice address fax:** (480) 800-3562
- **Mailing address:** 655 S DOBSON RD, SUITE B-115, CHANDLER, AZ 85224-5667
- **Mailing address phone:** (480) 800-3561
- **Mailing address fax:** (480) 800-3562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 43025 | AZ | Yes |

## Other

- **Enumeration date:** 07/30/2014
- **Last updated:** 07/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 508572 | — | AZ |
