Organization
FOOTHILLS PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN G RISKE M.D. (OWNER)
(480) 496-0000
Entity
Organization
Contact information
Practice address
600 S DOBSON RD, SUITE D27, CHANDLER, AZ 85224-5678
(480) 496-0000
(480) 496-7325
Mailing address
PO BOX 29675, DEPT 2061, PHOENIX, AZ 85038-9675
(480) 496-0000
(480) 496-7325
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21421
AZ
Other
Enumeration date
10/18/2006
Last updated
01/11/2017
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