Matilda Family Medicine

NPI #1083742449 in Glendale, Arizona

Provider Information

NPI Number
1083742449
Entity Type
Organization
Organization Name
Matilda Family Medicine
Primary Specialty
Health Maintenance Organization
Enumeration Date
Feb 28, 2007
Last Updated
Jul 11, 2008

Practice Location

Address
5832 W SAN MIGUEL AVE STE 6
State
Arizona
ZIP Code
85301-5907
Phone
(623) 435-3513

Authorized Official

Name
VALENTINE OKON, P.A.
Title
CEO
Phone
(623) 435-3513

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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