Organization
CALAVAR FAMILY PHYSICIANS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN BLAIR CORBETT JR. DO (PRESIDENT OWNER)
(602) 938-8150
Entity
Organization
Contact information
Practice address
3525 W CALAVAR RD, PHOENIX, AZ 85053
(602) 938-8150
(602) 938-9277
Mailing address
3525 W CALAVAR RD, PHOENIX, AZ 85053
(602) 938-8150
(602) 938-9277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1372
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241555001
—
AZ
Enumeration date
10/13/2006
Last updated
07/20/2011
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