Basic Information
| Provider Information | |||||||||
| NPI: | 1700348448 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BIO FAMILY CLINIC INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11468 N FRONTAGE RD | ||||||||
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| City: | YUMA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853678970 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9283426500 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2503 S AVENUE A STE 2 | ||||||||
| Address2: | |||||||||
| City: | YUMA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853647174 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9287830092 | ||||||||
| FaxNumber: | 9287821386 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2019 | ||||||||
| LastUpdateDate: | 01/29/2021 | ||||||||
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| AuthorizedOfficialLastName: | ENGLE | ||||||||
| AuthorizedOfficialFirstName: | TERRI | ||||||||
| AuthorizedOfficialMiddleName: | C | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR OF STAFFING & CREDENTIALIN | ||||||||
| AuthorizedOfficialTelephone: | 9282476516 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 213E00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Podiatric Medicine & Surgery Service Providers | Podiatrist |
No ID Information.