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Organization

R&N FAMILY MEDICAL PRACTICE LLC

Active
Other names
Maryvale Family Practice Group Inc
Organization subpart
No

Provider details

NPI number
Authorized official
NAHLA CHIRCO FNP (FNP)
(248) 250-3146
Entity
Organization

Contact information

Practice address
4700 N 51ST AVE, PHOENIX, AZ 85031-1237
(623) 209-5555
(623) 247-1905
Mailing address
4700 N 51ST AVE, PHOENIX, AZ 85031-1237
(623) 209-5555
(623) 247-1905

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1750518395
NPI
MI
Enumeration date
11/01/2017
Last updated
11/01/2017
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