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

Clinica Familiar Bella Vista

Organization Family Medicine Physician · NPI 1962600171

Clinica Familiar Bella Vista is a Family Medicine Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

515 W Buckeye Rd Ste 303
Phoenix, AZ 85003-2647
Phone: (602) 423-8956
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 32113 (AZ)

Record details

NPI number1962600171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Will Innocent — Owner · (602) 423-8961
NPI enumeratedJuly 10, 2007
Last updated in NPPESJuly 15, 2015
Mailing addressPo Box 10176, Glendale, AZ 85318-0176

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