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Organization
FAMILY PRACTICE SPECIALISTS LTD.
Active
Organization
FAMILY PRACTICE SPECIALISTS LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A WYSE M.D. (PRESIDENT)
(602) 955-8700
Entity
Organization
Contact information
Practice address
4600 E SHEA BLVD STE 100, PHOENIX, AZ 85028-6031
(602) 955-8700
(602) 553-8142
Mailing address
4600 E SHEA BLVD STE 100, PHOENIX, AZ 85028-6031
(602) 955-8700
(602) 553-8142
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
AZ
207Q00000X
Family Medicine Physician
Primary
—
AZ
Other
Enumeration date
03/23/2006
Last updated
09/28/2023
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