OrganizationActive
Afc of Avondale, PLLC
NPI 1407109127 · General Practice Physician · Avondale, AZ
Provider details
- NPI number
- 1407109127
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Urissa Boline, Credentialing Coordinator(480) 726-2287
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
210 N Avondale Blvd
Ste 100
Avondale, AZ 85323-6906
Phone: (623) 882-0600
Fax: (623) 882-9559
Approximate (ZIP-level) locationGet directions
Mailing address
1839 S Alma School Rd
Mesa, AZ 85210-3028
Registry dates
- Enumerated
- 2012-10-18
- Last updated
- 2013-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.