Organization
AFFINITY GYN INC.
Active
Other names
Affinity Medical
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN FAUST NP (PRESIDENT)
(480) 874-2900
Entity
Organization
Contact information
Practice address
6200 S MCCLINTOCK DR, #104, TEMPE, AZ 85283-3268
(480) 388-3666
(480) 388-3667
Mailing address
6200 S MCCLINTOCK DR, #104, TEMPE, AZ 85283-3268
(480) 388-3666
(480) 388-3667
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
RN082443
AZ
261QM2500X
Medical Specialty Clinic/Center
Primary
RN082443
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149395
AHCCCS NUMBER
AZ
Enumeration date
03/02/2007
Last updated
07/24/2012
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