NPI 1003955832

Arizona Family Physicians

Organisation Family Medicine Physician Tempe, AZ

Practice location

Address: 2127 E Baseline Rd 104, Tempe, AZ 85283-1537
Phone: (480) 897-7070
Fax: (480) 897-2597

Authorised official

Name: Gregory Lee Ellison
Title: Owner
Phone: (480) 897-7070

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD12426 (AZ)

Other Family Medicine providers in Arizona →

Registry record

NPI: 1003955832
Entity type: Organization
NPI issued: 6 Feb 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.