Southern Avenue Family Practice, PC

NPI #1285948521 in Tempe, Arizona

Provider Information

NPI Number: 1285948521
Entity Type: Organization
Organization Name: Southern Avenue Family Practice, PC
Primary Specialty: Family Medicine
Enumeration Date: Jul 28, 2010
Last Updated: Jul 28, 2010

Practice Location

Address: 2034 E SOUTHERN AVE
Address 2: SUITE O
City: Tempe
State: Arizona
ZIP Code: 85282-7522
Phone: (480) 777-0077

Authorized Official

Name: DR. STEVEN C BURNS, M D
Title: PRESIDENT
Phone: (480) 777-0077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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