Organization
ARIZONA PRIMARY CARE PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLUE BECKHAM (EXECUTIVE VICE PRESIDENT)
(623) 215-9452
Entity
Organization
Contact information
Practice address
5620 W THUNDERBIRD RD, SUITE F-1, GLENDALE, AZ 85306-4636
(623) 215-9432
(602) 735-3796
Mailing address
16155 N 83RD AVE, SUITE 201, PEORIA, AZ 85382-5815
(623) 215-9432
(602) 735-3796
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DV5855
RAILROAD MEDICARE PTAN
AZ
01
—
Z174630
MEDICARE PTAN
AZ
Enumeration date
06/18/2014
Last updated
07/14/2015
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