Organization
AZ PRIVATE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN G HAWKINS MD (OWNER/MEMBER)
(623) 695-9789
Entity
Organization
Contact information
Practice address
5220 N DYSART RD, SUITE 172, LITCHFIELD PARK, AZ 85340-3045
(623) 695-9789
Mailing address
PO BOX 20490, MESA, AZ 85277-0490
(480) 985-1093
(480) 296-7643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/30/2015
Last updated
07/30/2015
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