Az Private MD LLC

NPI #1023494192 in Litchfield Park, Arizona

Provider Information

NPI Number
1023494192
Entity Type
Organization
Organization Name
Az Private MD LLC
Primary Specialty
Internal Medicine
Enumeration Date
Jul 30, 2015
Last Updated
Jul 30, 2015

Practice Location

Address
5220 N DYSART RD
Address 2
SUITE 172
State
Arizona
ZIP Code
85340-3045
Phone
(623) 695-9789

Authorized Official

Name
BRIAN G HAWKINS, MD
Title
OWNER/MEMBER
Phone
(623) 695-9789

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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