Organization
AZ FAMILY MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD JACK SAYEGH M.D (M.D)
(602) 264-5359
Entity
Organization
Contact information
Practice address
2601 N 3RD ST STE 308, PHOENIX, AZ 85004-1101
(602) 264-5359
Mailing address
2601 N 3RD ST STE 308, PHOENIX, AZ 85004-1101
(602) 264-5359
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
40787
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z125325
MEDICARE PTAN
AZ
Enumeration date
08/04/2008
Last updated
10/13/2011
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