Organization
PHOENIX FAMILY PHYSICIANS, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY RICHARD LONG M.D. (PRESIDENT)
(602) 246-7251
Entity
Organization
Contact information
Practice address
1190 E MISSOURI AVE, SUITE 160, PHOENIX, AZ 85014-2734
(602) 246-7251
(602) 264-2462
Mailing address
1190 E MISSOURI AVE, SUITE 160, PHOENIX, AZ 85014-2734
(602) 246-7251
(602) 264-2462
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08862
AZ
Other
Enumeration date
12/28/2007
Last updated
06/29/2010
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