Manzanita Medical PLLC
Manzanita Medical PLLC provides Family Medicine Physician services in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2017.
- Licensed in
- AZ
- In the registry since
- 2017
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4545 E Shea Blvd Ste 130Phoenix, AZ 85028-3061
Phone: (480) 292-9532
Fax: (480) 664-3482
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (AZ) |
|---|
Record details
| NPI number | 1306376611 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Judith Hallas — Office Manager · (480) 292-9532 |
| NPI enumerated | June 19, 2017 |
| Last updated in NPPES | July 23, 2024 |
| Certification date | May 8, 2023 |
| Mailing address | 4545 E Shea Blvd Ste 130, Phoenix, AZ 85028-3061 |
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