Organization
AMERICAN FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEJANDRO E LOPEZ (MEDICAL DIRECTOR)
(832) 454-9989
Entity
Organization
Contact information
Practice address
5501 N 19TH AVE STE 218, PHOENIX, AZ 85015-2452
(602) 413-0431
Mailing address
1514 W THOMAS RD, PHOENIX, AZ 85015-6101
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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