Organization
PHOENICIAN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT MARQUARD MD (OWNER/MD)
(623) 979-0309
Entity
Organization
Contact information
Practice address
5114 W PEORIA AVE, GLENDALE, AZ 85302-1618
(623) 979-0309
Mailing address
5114 W PEORIA AVE, GLENDALE, AZ 85302-1618
(623) 979-0309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
006374
AZ
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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