Organization
KACHINA FAMILY PRACTICE PA
Active
Other names
Kachina Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARON JOSEPH FISCHBECK MD (PRESIDENT)
(480) 706-4100
Entity
Organization
Contact information
Practice address
16611 S 40TH ST, SUITE 120, PHOENIX, AZ 85048
(480) 706-4100
(480) 706-2600
Mailing address
16611 S 40TH ST, SUITE 120, PHOENIX, AZ 85048
(480) 706-4100
(480) 706-2600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/25/2007
Last updated
04/30/2020
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