# ARIZONA PREFERRED PRIMARY CARE,PLC

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

## Provider details

- **NPI number:** 1811941321
- **Authorized official:** MR. ABED EL NASSER S MOGHARBEL (ADMINISTRATOR)
- **Authorized official phone:** (480) 736-1184

## Contact information

- **Practice address:** 3035 S ELLSWORTH RD, SUITE 103, MESA, AZ 85212
- **Practice address phone:** (480) 736-1777
- **Practice address fax:** (480) 736-1144
- **Mailing address:** 3035 S ELLSWORTH RD, SUITE 103, MESA, AZ 85212-2160
- **Mailing address phone:** (480) 736-1777
- **Mailing address fax:** (480) 736-1144

## Taxonomy

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

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 10/30/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Z77747 | MEDICARE LEGACY | AZ |