Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Phoenician Family Medicine

Organization Family Medicine Physician · NPI 1780054759

Phoenician Family Medicine provides Family Medicine Physician services in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015

Practice location Address checks out

5114 W Peoria Ave
Glendale, AZ 85302-1618 Not confirmed with CMS for 11 years — call before visiting
Phone: (623) 979-0309
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 006374 (AZ)

Record details

NPI number1780054759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Marquard — Owner/Md · (623) 979-0309
NPI enumeratedOctober 2, 2015
Last updated in NPPESOctober 2, 2015
Mailing address5114 W Peoria Ave, Glendale, AZ 85302-1618

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