Organization
FAMILY TELEMED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WOLFE (DIRECTOR)
(785) 835-3633
Entity
Organization
Contact information
Practice address
18530 W CARLOTA LN, SURPRISE, AZ 85387-1612
(785) 835-3633
(623) 303-8933
Mailing address
18530 W CARLOTA LN, SURPRISE, AZ 85387-1612
(785) 835-3633
(623) 303-8933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
07/27/2023
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