# FAMILY PRACTICE SPECIALISTS LTD.

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

## Provider details

- **NPI number:** 1972563187
- **Authorized official:** DR. MARK A WYSE M.D. (PRESIDENT)
- **Authorized official phone:** (602) 955-8700

## Contact information

- **Practice address:** 4600 E SHEA BLVD STE 100, PHOENIX, AZ 85028-6031
- **Practice address phone:** (602) 955-8700
- **Practice address fax:** (602) 553-8142
- **Mailing address:** 4600 E SHEA BLVD STE 100, PHOENIX, AZ 85028-6031
- **Mailing address phone:** (602) 955-8700
- **Mailing address fax:** (602) 553-8142

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | AZ | — |
| 207Q00000X | Family Medicine Physician | — | AZ | Yes |

## Other

- **Enumeration date:** 03/23/2006
- **Last updated:** 09/28/2023