| Organization Name: | AMERICAN FAMILY MEDICINE LLC |
| NPI Number: | 1477908085 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AURELIANO E CIFUENTES (MEDICAL DIRECTOR) |
| Mailing Address: | 4344 W Indian School Rd Suite 9 Phoenix |
| State: | AZ US |
| Postal Code: | 850312984 |
| Phone Number: | 4808971175 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2016 |
| NPI Last Update Date: | 05/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |