Organization Name: | GENERAL PRACTICE ASSOCIATES, P.C |
NPI Number: | 1134314420 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LLOYD DAVID ARMOLD (PRESIDENT) |
Mailing Address: | 7200 W Bell Rd Ste G103 Glendale |
State: | AZ US |
Postal Code: | 853088554 |
Phone Number: | 6239398916 |
Fax Number: | 6234868973 |
NPI Enumeration Date: | 09/10/2007 |
NPI Last Update Date: | 09/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0641 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |