Afc of Avondale, Pllc

NPI #1407109127 in Avondale, Arizona

Provider Information

NPI Number: 1407109127
Entity Type: Organization
Organization Name: Afc of Avondale, Pllc
Primary Specialty: General Practice
Enumeration Date: Oct 18, 2012
Last Updated: Jan 7, 2013

Practice Location

Address: 210 N AVONDALE BLVD
Address 2: STE 100
City: Avondale
State: Arizona
ZIP Code: 85323-6906
Phone: (623) 882-0600

Authorized Official

Name: URISSA FRANCILLE BOLINE
Title: CREDENTIALING COORDINATOR
Phone: (480) 726-2287

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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