Organization
LEGACY FAMILY MEDICAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI MARQUART FNP-C (PRESIDENT)
(480) 766-8485
Entity
Organization
Contact information
Practice address
4902 S VAL VISTA DR, SUITE 110, GILBERT, AZ 85298-7325
(480) 766-8485
(480) 689-5569
Mailing address
4902 S VAL VISTA DR, SUITE 110, GILBERT, AZ 85298-7325
(480) 766-8485
(480) 689-5569
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
110530
AZ
Other
Enumeration date
10/22/2010
Last updated
05/15/2013
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