Organization
GREENFIELD FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLA JEAN JENKINS (OFFICE MANAGER)
(480) 964-6900
Entity
Organization
Contact information
Practice address
1244 N. GREENFIELD RD., SUITE 104, MESA, AZ 85205
(480) 964-6900
(480) 964-6901
Mailing address
1244 N. GREENFIELD RD., SUITE 104, MESA, AZ 85205
(480) 964-6900
(480) 964-6901
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2584
AZ
207Q00000X
Family Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
2764
AZ
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/22/2006
Last updated
04/14/2025
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