Organization
GRAYHAWK FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNETTA KING (OWNER)
(480) 473-7003
Entity
Organization
Contact information
Practice address
21803 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85255-7446
(480) 473-7003
(480) 473-4499
Mailing address
21803 N SCOTTSDALE RD STE 200, SCOTTSDALE, AZ 85255-7446
(480) 473-7003
(480) 473-4499
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529935
—
AZ
Enumeration date
10/05/2006
Last updated
03/27/2020
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