| Full Name | Allied Family Care |
|---|---|
| Speciality | Family Medicine |
| Location | 500 W 10th Pl, Mesa, Arizona |
| Authorized Official Name and Position | Ronald R Bunnell (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6024954000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allied Family Care 1441 N 12th St Phoenix AZ 85006-2837 Ph: () - | Allied Family Care 500 W 10th Pl Mesa AZ 85201-3298 Ph: (480) 461-2575 |
| NPI Number | 1053361782 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 10/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053361782 | NPI | - | NPPES |
| 965436 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OTC 3572 (Arizona) | Primary |
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