Organization
MAIN STREET FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH M LIZARRAGA (OWNER)
(520) 868-1400
Entity
Organization
Contact information
Practice address
660 SOUTH MAIN STREET, FLORENCE, AZ 85232
(949) 713-3998
Mailing address
PO BOX 2818, FLORENCE, AZ 85132-3052
(520) 868-1400
(520) 868-1500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
05/21/2015
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