Organization
FAMILY HEALTH CENTER OF EAST VALLEY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENEDICT BOGNOT DAYRIT M.D. (OWNER)
(480) 325-0905
Entity
Organization
Contact information
Practice address
6952 E BROADWAY RD, SUITE 101, MESA, AZ 85208-1974
(480) 325-0905
(480) 325-6661
Mailing address
6952 E BROADWAY RD, SUITE 101, MESA, AZ 85208-1974
(480) 325-0905
(480) 325-6661
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26127
AZ
Other
Enumeration date
03/06/2008
Last updated
04/04/2008
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