Provider First Line Business Practice Location Address:
2927 N 7TH AVE
Provider Second Line Business Practice Location Address:
ST. JOSEPH'S FAMILY MEDICINE-PEPPERTREE BLDG.
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85013-4102
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-406-3153
Provider Business Practice Location Address Fax Number:
602-406-7176
Provider Enumeration Date:
07/01/2011