Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clean Colonic Family Practice

Organization Family Medicine Physician · NPI 1003492158

Clean Colonic Family Practice is a Family Medicine Physician in Phoenix, Arizona. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4744 E Thunderbird Rd Ste 4
Phoenix, AZ 85032-5577
Phone: (480) 269-5575
Show map & directions

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

Additional practice locations (2)

  • 16718 E Avenue Of The Fountains Ste 100, Fountain Hills, AZ 85268-4165 — (480) 269-5575
  • 2034 E Southern Ave Ste B, Tempe, AZ 85282-7511 — (480) 269-5575

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1003492158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Berry — Owner · (480) 269-5575
NPI enumeratedMarch 19, 2021
Last updated in NPPESMarch 19, 2021
Certification dateMarch 19, 2021
Mailing address4744 E Thunderbird Rd Ste 4, Phoenix, AZ 85032-5577

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