| Anthracite Medical Pllc | |
|
4855 Butterfly Dr Prescott AZ 86301-5770 | |
| (570) 299-0037 | |
| Not Available |
| Full Name | Anthracite Medical Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 4855 Butterfly Dr, Prescott, Arizona |
| Authorized Official Name and Position | Joseph Leonard Viccica (MEMBER) |
| Authorized Official Contact | 5702990037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthracite Medical Pllc 4855 Butterfly Dr Prescott AZ 86301-5770 Ph: (570) 299-0037 | Anthracite Medical Pllc 4855 Butterfly Dr Prescott AZ 86301-5770 Ph: (570) 299-0037 |
| NPI Number | 1366206500 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366206500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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