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

Memd Provider Network LLC

Organization Family Medicine Physician · NPI 1376154625

Memd Provider Network LLC is a Family Medicine Physician in Phoenix, Arizona. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6910 E Chauncey Ln Ste 220
Phoenix, AZ 85054-5162
Phone: (480) 339-4573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X

Record details

NPI number1376154625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Glenn Dean — Cfo · (480) 339-4573
NPI enumeratedAugust 11, 2020
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020
Mailing address6910 E Chauncey Ln Ste 220, Phoenix, AZ 85054-5162

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