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

Phoenician Family Medicine

Organization Family Medicine Physician · NPI 1780054759

Phoenician Family Medicine is a Family Medicine Physician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2015.

Licensed in
AZ
In the registry since
2015

Practice location Address checks out

5114 W Peoria Ave
Glendale, AZ 85302-1618
Phone: (623) 979-0309
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 006374 (AZ)

Record details

NPI number1780054759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Marquard — Owner/Md · (623) 979-0309
NPI enumeratedOctober 2, 2015
Last updated in NPPESOctober 2, 2015
Mailing address5114 W Peoria Ave, Glendale, AZ 85302-1618

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