New River Family Medicine L.l.c.

NPI #1982890851 in New River, Arizona

Provider Information

NPI Number: 1982890851
Entity Type: Organization
Organization Name: New River Family Medicine L.l.c.
Primary Specialty: Family Medicine
Enumeration Date: Sep 24, 2007
Last Updated: Dec 4, 2007

Practice Location

Address: 46641 N BLACK CANYON HWY
Address 2: STE 5
City: New River
State: Arizona
ZIP Code: 85087-6941
Phone: (623) 465-8810

Authorized Official

Name: DR. RANDY CHARLES HANCOCK, DO
Title: PRESIDENT
Phone: (623) 465-8810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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