Organization
AFC OF AVONDALE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
URISSA FRANCILLE BOLINE (CREDENTIALING COORDINATOR)
(480) 726-2287
Entity
Organization
Contact information
Practice address
210 N AVONDALE BLVD, STE 100, AVONDALE, AZ 85323-6906
(623) 882-0600
(623) 882-9559
Mailing address
1839 S ALMA SCHOOL RD, STE 354, MESA, AZ 85210-3028
(480) 726-2287
(888) 315-4172
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
01/07/2013
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