# ADVANCED FAMILY HEALTHCARE PLLC

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

## Provider details

- **NPI number:** 1801205331
- **Authorized official:** MR. MICHAEL CRISMON (MANAGING MEMBER)
- **Authorized official phone:** (480) 892-1122

## Contact information

- **Practice address:** 4121 E VALLEY AUTO DR, SUITE \# 110, MESA, AZ 85206-4631
- **Practice address phone:** (480) 892-1122
- **Practice address fax:** (480) 892-2243
- **Mailing address:** 4121 E VALLEY AUTO DR, SUITE \# 110, MESA, AZ 85206-4631
- **Mailing address phone:** (480) 892-1122
- **Mailing address fax:** (480) 892-2243

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2014
- **Last updated:** 08/08/2014