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223 Cibecue Circle Road San Carlos AZ 85550-0208 | |
(928) 475-7285 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 223 Cibecue Circle Road, San Carlos, Arizona |
Authorized Official Name and Position | Shirley M Boni (ADMINISTRATIVE OFFICER) |
Authorized Official Contact | 9284757348 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 208 San Carlos AZ 85550-0208 Ph: (928) 475-7285 | 223 Cibecue Circle Road San Carlos AZ 85550-0208 Ph: (928) 475-7285 |
NPI Number | 1487906418 |
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Provider Enumeration Date | 10/15/2012 |
Last Update Date | 10/15/2012 |
Identifier | Type | State | Issuer |
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1487906418 | NPI | - | NPPES |