| Arizona Adult And Pediatric Medicine Pc | |
|
743 Miller Valley Road Prescott AZ 86301-1813 | |
| (928) 443-1000 | |
| (928) 443-1001 |
| Full Name | Arizona Adult And Pediatric Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 743 Miller Valley Road, Prescott, Arizona |
| Authorized Official Name and Position | Brenda Lue Sipes (TREASURER) |
| Authorized Official Contact | 9284431000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Adult And Pediatric Medicine Pc 743 Miller Valley Road Prescott AZ 86301-1813 Ph: (928) 443-1000 | Arizona Adult And Pediatric Medicine Pc 743 Miller Valley Road Prescott AZ 86301-1813 Ph: (928) 443-1000 |
| NPI Number | 1225212905 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225212905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
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