Organization
PARADISE VALLEY FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA J O'BRIEN (MANAGER)
(602) 494-5118
Entity
Organization
Contact information
Practice address
11209 N TATUM BLVD, SUITE 180, PHOENIX, AZ 85028-3091
(602) 494-5155
(602) 494-5115
Mailing address
11209 N. TATUM BLVD, SUITE 180, PHOENIX, AZ 85028
(602) 494-5155
(602) 494-5115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
02/11/2020
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