Organization
FAMILY MEDICAL WALK IN CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOREEN KOPPULA M.D. (PRESIDENT / OWNER)
(602) 273-6770
Entity
Organization
Contact information
Practice address
8102 E MCDOWELL RD, SUITE 2A, SCOTTSDALE, AZ 85257-3809
(602) 273-6770
(602) 889-0489
Mailing address
PO BOX 29211, PHOENIX, AZ 85038-9211
(602) 273-6770
(602) 889-0489
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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