Basic Information
| Provider Information | |||||||||
| NPI: | 1013037951 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FAMILY HEALTH PROVIDERS, LTD. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 199 S CANDY LN | ||||||||
| Address2: | STE. 1A | ||||||||
| City: | COTTONWOOD | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 863264183 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9286345551 | ||||||||
| FaxNumber: | 9286345604 | ||||||||
| Practice Location | |||||||||
| Address1: | 199 S CANDY LN | ||||||||
| Address2: | STE. 1A | ||||||||
| City: | COTTONWOOD | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 863264183 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9286345551 | ||||||||
| FaxNumber: | 9286345604 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ARTHUR | ||||||||
| AuthorizedOfficialFirstName: | JAMES | ||||||||
| AuthorizedOfficialMiddleName: | PAUL | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 9286345551 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 15540 | AZ | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.