Organization
ADAM S. NALLY, D.O., P.C.
Active
Other names
Nally Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM SHANE NALLY D.O. (PRESIDENT/PHYSICIAN)
(623) 584-7805
Entity
Organization
Contact information
Practice address
14800 W MOUNTAIN VIEW BLVD, SUITE 250, SURPRISE, AZ 85374-4795
(623) 584-7805
(623) 584-7856
Mailing address
14800 W MOUNTAIN VIEW BLVD, SUITE 250, SURPRISE, AZ 85374-4795
(623) 584-7805
(623) 584-7856
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3587
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
704199
—
AZ
Enumeration date
10/16/2007
Last updated
08/14/2020
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