Organization
SAN PEDRO FAMILY CARE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANINE F WILEY (MANAGER)
(520) 586-3664
Entity
Organization
Contact information
Practice address
890 W 4TH ST, BENSON, AZ 85602-6437
(520) 586-3664
(520) 586-3665
Mailing address
890 W 4TH ST, BENSON, AZ 85602-6437
(520) 586-3664
(520) 586-3665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/26/2007
Last updated
10/29/2007
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