| New River Family Medicine L.l.c. | |
|
46641 N Black Canyon Hwy Ste 5 New River AZ 85087-6941 | |
| (623) 465-8810 | |
| (623) 465-1561 |
| Full Name | New River Family Medicine L.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 46641 N Black Canyon Hwy, New River, Arizona |
| Authorized Official Name and Position | Randy Charles Hancock (PRESIDENT) |
| Authorized Official Contact | 6234658810 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New River Family Medicine L.l.c. 46641 N Black Canyon Hwy Ste 5 New River AZ 85087-6941 Ph: (623) 465-8810 | New River Family Medicine L.l.c. 46641 N Black Canyon Hwy Ste 5 New River AZ 85087-6941 Ph: (623) 465-8810 |
| NPI Number | 1982890851 |
|---|---|
| Provider Enumeration Date | 09/24/2007 |
| Last Update Date | 12/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982890851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3297 (Arizona) | Primary |
New River Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46641 N Black Canyon Hwy, Ste. 5, New River, AZ 85087 Phone: 623-465-8810 Fax: 623-465-1561 | |
New River Family Practice, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 46641 N Black Canyon Hwy, #5, New River, AZ 85087 Phone: 623-465-8810 Fax: 623-465-1561 |