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Organization
NEW RIVER FAMILY MEDICINE L.L.C.
Active
Organization
NEW RIVER FAMILY MEDICINE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY CHARLES HANCOCK DO (PRESIDENT)
(623) 465-8810
Entity
Organization
Contact information
Practice address
46641 N BLACK CANYON HWY, STE 5, NEW RIVER, AZ 85087-6941
(623) 465-8810
(623) 465-1561
Mailing address
46641 N BLACK CANYON HWY, STE 5, NEW RIVER, AZ 85087-6941
(623) 465-8810
(623) 465-1561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3297
AZ
Other
Enumeration date
09/24/2007
Last updated
12/04/2007
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