| Caspian Gleam Medical Center Llc | |
|
3130 Stillwater Drive, Suite B Prescott AZ 86305 | |
| (801) 884-9687 | |
| Not Available |
| Full Name | Caspian Gleam Medical Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 3130 Stillwater Drive, Suite B, Prescott, Arizona |
| Authorized Official Name and Position | Farbod Misaghian (OWNER) |
| Authorized Official Contact | 8018849687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caspian Gleam Medical Center Llc 3270 Rose Ln Prescott AZ 86305-3744 Ph: (801) 884-9687 | Caspian Gleam Medical Center Llc 3130 Stillwater Drive, Suite B Prescott AZ 86305 Ph: (801) 884-9687 |
| NPI Number | 1174073837 |
|---|---|
| Provider Enumeration Date | 10/06/2016 |
| Last Update Date | 10/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174073837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Agmc - Crossings Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3777 Crossings Dr, Prescott, AZ 86305 Phone: 928-771-9693 Fax: 928-708-0505 | |
Ellen F Bunch Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1456 W Gurley St, Prescott, AZ 86305 Phone: 928-777-8880 Fax: 928-777-8884 | |
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Verde Valley Guidance Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3633 Crossings Dr, Prescott, AZ 86305 Phone: 928-778-0330 Fax: 928-778-1146 | |
Fred S Markham Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301 Phone: 928-778-1736 Fax: 928-717-0785 | |
Yavapai Regional Medical Center Physician Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 Gail Gardner Way, Suite B, Prescott, AZ 86305 Phone: 928-445-0304 | |
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