Organization · Type 2 NPI
My Home Doc LLC
General Practice Physician · Phoenix, AZ
NPI number
1508405077
Active
Practice location
1825 E Northern Ave Ste 105
Phoenix, AZ 85020-3953
Fax (480) 393-8555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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About NPI 1508405077
My Home Doc LLC's National Provider Identifier is 1508405077, issued on Jan 2, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 20, 2026.