| Ellen F Bunch Md Pllc | |
|
1456 W Gurley St Prescott AZ 86305-2828 | |
| (928) 777-8880 | |
| (928) 777-8884 |
| Full Name | Ellen F Bunch Md Pllc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 1456 W Gurley St, Prescott, Arizona |
| Authorized Official Name and Position | Kenneth L Bunch (PRACTICE MANAGER) |
| Authorized Official Contact | 9287778880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen F Bunch Md Pllc 1456 W Gurley St Prescott AZ 86305-2828 Ph: (928) 777-8880 | Ellen F Bunch Md Pllc 1456 W Gurley St Prescott AZ 86305-2828 Ph: (928) 777-8880 |
| NPI Number | 1023750684 |
|---|---|
| Provider Enumeration Date | 04/12/2022 |
| Last Update Date | 05/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023750684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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