Organization
NEW IMAGE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILO A ROGERS D.O. (OWNER)
(480) 705-0480
Entity
Organization
Contact information
Practice address
13838 S 46TH PL, SUITE 120, PHOENIX, AZ 85044-7800
(480) 705-0480
(480) 705-0481
Mailing address
13838 S 46TH PL, SUITE 120, PHOENIX, AZ 85044-7800
(480) 705-0480
(480) 705-0481
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
10/26/2006
Last updated
11/30/2011
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