Organization
MAZOURY FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIREZA MAZOURY NP (OWNER/PROVIDER)
(480) 371-4559
Entity
Organization
Contact information
Practice address
4913 S ALMA SCHOOL RD STE 4, CHANDLER, AZ 85248-5629
(480) 371-4559
Mailing address
4087 E WASHINGTON AVE, GILBERT, AZ 85234-7711
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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