Organization
JACKRABBIT FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GABRIELLE JULIE GOODRICK MD (PRESIDENT)
(602) 279-2337
Entity
Organization
Contact information
Practice address
4141 N 32ND ST, SUITE 105, PHOENIX, AZ 85018-4775
(602) 279-2337
(602) 448-8321
Mailing address
4141 N 32ND ST, SUITE 105, PHOENIX, AZ 85018-4775
(602) 279-2337
(602) 448-8321
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
22811
AZ
Other
Enumeration date
07/24/2007
Last updated
01/03/2019
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