Organization
AFC OF PHOENIX, PLLC
Active
Parent organization
AFC OF PHOENIX, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
AFC OF PHOENIX, PLLC
Authorized official
LISA M. PACE N.P. (MEDICAL DIRECTOR)
(602) 296-4060
Entity
Organization
Contact information
Practice address
2 N CENTRAL AVE, SUITE 120, PHOENIX, AZ 85004-2322
(602) 296-4060
(602) 296-4146
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 943-4180
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
AP5397
AZ
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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