Organization
NEW RIVER FAMILY MEDICINE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY CHARLES HANCOCK DO (PRESIDENT)
(623) 465-8810
Entity
Organization
Contact information
Practice address
46641 N BLACK CANYON HWY, STE 5, NEW RIVER, AZ 85087-6941
(623) 465-8810
(623) 465-1561
Mailing address
46641 N BLACK CANYON HWY, STE 5, NEW RIVER, AZ 85087-6941
(623) 465-8810
(623) 465-1561
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3297
AZ
Other
Enumeration date
09/24/2007
Last updated
12/04/2007
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