| High Mark Internal Medicine | |
|
214 N Mccormick St Prescott AZ 86301-2706 | |
| (928) 237-9800 | |
| (928) 237-9924 |
| Full Name | High Mark Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 214 N Mccormick St, Prescott, Arizona |
| Authorized Official Name and Position | Erik Contreras (PROVIDER) |
| Authorized Official Contact | 9288992446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Mark Internal Medicine Po Box 20610 Mesa AZ 85277-0610 Ph: (928) 237-9800 | High Mark Internal Medicine 214 N Mccormick St Prescott AZ 86301-2706 Ph: (928) 237-9800 |
| NPI Number | 1689321903 |
|---|---|
| Provider Enumeration Date | 03/07/2022 |
| Last Update Date | 01/24/2023 |
| Medicare PECOS PAC ID | 4789071440 |
|---|---|
| Medicare Enrollment ID | O20220427001290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689321903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Erik Paul Contreras |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265708416 PECOS PAC ID: 8527019488 Enrollment ID: I20150827000168 |
| Provider Name | Randi Lynn Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235877317 PECOS PAC ID: 5294114419 Enrollment ID: I20220617002656 |
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