Organization
ARIZONA VISTA FAMILY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA LANIER MD., PHD. (PRESIDENT OF AVFM)
(480) 892-1212
Entity
Organization
Contact information
Practice address
875 N GREENFIELD RD, # 101, GILBERT, AZ 85234-5044
(480) 892-1212
(480) 892-4941
Mailing address
875 N GREENFIELD RD, # 101, GILBERT, AZ 85234-5044
(480) 892-1212
(480) 892-4941
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26887
AZ
363A00000X
Physician Assistant
3160
AZ
Other
Enumeration date
11/11/2006
Last updated
05/14/2008
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