# AMERICAN FAMILY MEDICINE LLC

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

## Provider details

- **NPI number:** 1770348724
- **Authorized official:** ALEJANDRO E LOPEZ (MEDICAL DIRECTOR)
- **Authorized official phone:** (832) 454-9989

## Contact information

- **Practice address:** 9169 W VAN BUREN ST, TOLLESON, AZ 85353-2942
- **Practice address phone:** (623) 233-6676
- **Mailing address:** 1514 W THOMAS RD, PHOENIX, AZ 85015-6101

## Taxonomy

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

## Other

- **Enumeration date:** 02/19/2024
- **Last updated:** 02/19/2024