Organization
PREMIERE PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTORIA HIEN DOAN BA (ADMINISTRATIVE MANAGER)
(623) 399-6722
Entity
Organization
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 476-7880
(623) 476-7890
Mailing address
PO BOX 84213, PHOENIX, AZ 85071-4213
(623) 476-7880
(623) 476-7890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
01/16/2008
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