# NEW RIVER FAMILY MEDICINE L.L.C.

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

## Provider details

- **NPI number:** 1982890851
- **Authorized official:** DR. RANDY CHARLES HANCOCK DO (PRESIDENT)
- **Authorized official phone:** (623) 465-8810

## Contact information

- **Practice address:** 46641 N BLACK CANYON HWY, STE 5, NEW RIVER, AZ 85087-6941
- **Practice address phone:** (623) 465-8810
- **Practice address fax:** (623) 465-1561
- **Mailing address:** 46641 N BLACK CANYON HWY, STE 5, NEW RIVER, AZ 85087-6941
- **Mailing address phone:** (623) 465-8810
- **Mailing address fax:** (623) 465-1561

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 3297 | AZ | Yes |

## Other

- **Enumeration date:** 09/24/2007
- **Last updated:** 12/04/2007