Agave Family Health, Pllc

NPI 1073719043 - Family Medicine - 207Q00000X

NPI Details
NPI 1073719043
Enumeration Date 06/26/2007
Last Updated 10/19/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MOLLY FINLEY MOLLY
Position OWNER
Phone (480) 219-3346
Fax (480) 219-3652
Practice Location
3420 S MERCY RD
113
GILBERT AZ, 85297-0419, US
Phone (480) 219-3346
Fax (480) 219-3652
Business Location
3420 S MERCY RD
113
GILBERT AZ, 85297-0419, US
Phone (480) 219-3346
Fax (480) 219-3652
Toxanomy
Taxonomy Code 207Q00000X
License State Arizona
License Number 4457
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According to our database, Agave Family Health, Pllc NPI is 1073719043, taxonomy code is 207Q00000X and license number is 4457, license state is located at Arizona. Agave Family Health, Pllc physically located at 3420 S Mercy Rd, Gilbert AZ, 85297-0419. NPI Number 1033115704 has the healthcare provider type.

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1073719043 NPI number is provided on an as is basis without warranty of any kind. 1073719043 is maintained by the National Plan & Provider Enumeration System. The contents of Agave Family Health, Pllc are for informational purposes only.