Whalio Doctors

NPI 1982890851

New River Family Medicine L.L.C.

Organisation Family Medicine Physician New River, AZ

Practice location

Address
46641 N Black Canyon Hwy STE 5, New River, AZ 85087-6941
Phone
(623) 465-8810
Fax
(623) 465-1561

Authorised official

Name
Randy Charles Hancock
Title
President
Phone
(623) 465-8810

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 3297 (AZ)

Registry record

NPI
1982890851
Entity type
Organization
NPI issued
24 Sep 2007
Record last updated
4 Dec 2007

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.