Provider Demographics
NPI:1770720740
Name:SOUTHWEST FAMILY PHYSICIANS
Entity type:Organization
Organization Name:SOUTHWEST FAMILY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-956-6559
Mailing Address - Street 1:4202 N 32ND ST STE C
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-4764
Mailing Address - Country:US
Mailing Address - Phone:602-956-6559
Mailing Address - Fax:602-956-6834
Practice Address - Street 1:4202 N 32ND ST STE C
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-4764
Practice Address - Country:US
Practice Address - Phone:602-956-6559
Practice Address - Fax:602-956-6834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ9462261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care