Organization
AUC SURPRISE FAMILY CARE LLC
Active
Other names
Surprise Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL EDWARDS MAOM (CEO)
(602) 530-6189
Entity
Organization
Contact information
Practice address
14800 W MOUNTAIN VIEW BLVD, SUITE 190, SURPRISE, AZ 85374-4795
(623) 889-7199
(623) 889-7198
Mailing address
5410 W THUNDERBIRD RD, SUITE 101, GLENDALE, AZ 85306-4711
(602) 530-6189
(602) 548-2292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3147
AZ
Other
Enumeration date
07/07/2005
Last updated
08/22/2020
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