Palo Verde Family Medicine Pllc

LBN: Palo Verde Family Medicine Pllc
Palo Verde Family Medicine Pllc is an health care organization with primary practice located at 7615 W Thunderbird Rd Ste 106, Peoria AZ 85381-6083. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Palo Verde Family Medicine Pllc can be contacted via phone (623) 878-5800, or through Montgomery, Darryl L via phone (623) 878-5800.

Contact Information

Primary practice address
7615 W Thunderbird Rd Ste 106 Peoria AZ 85381-6083
Phone: (623) 878-5800
Fax: (623) 878-5807
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, Darryl L
Phone: (623) 878-5800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1417222969
LBN Legal business name Palo Verde Family Medicine Pllc
DBA Doing business as
Authorized official Montgomery, Darryl L
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2012
Last updated Nov 5th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417222969 NPPES
Arizona MEDICAID 696933

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