Estrella Family Medical, Llc.

NPI #1669593398 in Goodyear, Arizona

Provider Information

NPI Number: 1669593398
Entity Type: Organization
Organization Name: Estrella Family Medical, Llc.
Primary Specialty: Family Medicine
Enumeration Date: Apr 2, 2007
Last Updated: Feb 8, 2012

Practice Location

Address: 750 N. ESTRELLA PARKWAY
Address 2: SUITE 20
City: Goodyear
State: Arizona
ZIP Code: 85338
Phone: (623) 298-4642

Authorized Official

Name: MR. BERNARD GOODMAN, M.H.A.
Title: CHIEF EXECUTIVE OFFICER
Phone: (623) 298-4642

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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