Basic Information
| Provider Information | |||||||||
| NPI: | 1578058723 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARMONY FAMILY MEDICINE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 81 W GUADALUPE RD STE 111 | ||||||||
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| City: | GILBERT | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852333321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4803664490 | ||||||||
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| Practice Location | |||||||||
| Address1: | 81 W GUADALUPE RD STE 111 | ||||||||
| Address2: | |||||||||
| City: | GILBERT | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852333321 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4803664490 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/28/2018 | ||||||||
| LastUpdateDate: | 06/28/2018 | ||||||||
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| AuthorizedOfficialLastName: | FABER | ||||||||
| AuthorizedOfficialFirstName: | JEREMIAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 4803664490 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.