| Evolving Healthcare Plc | |
|
1670 Willow Creek Rd # A182 Prescott AZ 86301-1112 | |
| (928) 515-0632 | |
| Not Available |
| Full Name | Evolving Healthcare Plc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1670 Willow Creek Rd # A182, Prescott, Arizona |
| Authorized Official Name and Position | Lesley Wood (OWNER) |
| Authorized Official Contact | 9285150632 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolving Healthcare Plc 1670 Willow Creek Rd # A182 Prescott AZ 86301-1112 Ph: (928) 515-0632 | Evolving Healthcare Plc 1670 Willow Creek Rd # A182 Prescott AZ 86301-1112 Ph: (928) 515-0632 |
| NPI Number | 1275117178 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 09/20/2021 |
| Medicare PECOS PAC ID | 7214333707 |
|---|---|
| Medicare Enrollment ID | O20210908003655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275117178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lesley Wood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558519231 PECOS PAC ID: 5193952059 Enrollment ID: I20180820001005 |
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