# PERSONAL FAMILY MEDICINE PLLC

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

## Provider details

- **NPI number:** 1841374535
- **Authorized official:** JOSIELYNDA R HULTBERG (OFFICE MANAGER)
- **Authorized official phone:** (480) 222-0810

## Contact information

- **Practice address:** 4633 E CHANDLER BLVD, STE 110, PHOENIX, AZ 85048
- **Practice address phone:** (480) 222-0810
- **Practice address fax:** (480) 222-0809
- **Mailing address:** 4633 E CHANDLER BLVD, SUITE 110, PHOENIX, AZ 85048
- **Mailing address phone:** (480) 222-0810
- **Mailing address fax:** (480) 222-0809

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 32745 | AZ | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/22/2020
