# ADAM S. NALLY, D.O., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nally Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811186802
- **Authorized official:** DR. ADAM SHANE NALLY D.O. (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (623) 584-7805

## Contact information

- **Practice address:** 14800 W MOUNTAIN VIEW BLVD, SUITE 250, SURPRISE, AZ 85374-4795
- **Practice address phone:** (623) 584-7805
- **Practice address fax:** (623) 584-7856
- **Mailing address:** 14800 W MOUNTAIN VIEW BLVD, SUITE 250, SURPRISE, AZ 85374-4795
- **Mailing address phone:** (623) 584-7805
- **Mailing address fax:** (623) 584-7856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3587 | AZ | Yes |

## Other

- **Enumeration date:** 10/16/2007
- **Last updated:** 08/14/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 704199 | — | AZ |