Organization
PRIMARY CARE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH KEARNS (OWNER)
(480) 280-5085
Entity
Organization
Contact information
Practice address
36600 N. PIMA ROAD, STE 307, CAREFREE, AZ 85377
(480) 280-5085
Mailing address
11801 N TATUM BLVD STE 145, PHOENIX, AZ 85028-1613
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
33789
AZ
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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