| Mountain Family Care And Walk In Pllc | |
|
320 E Deuce Of Clubs Show Low AZ 85901-4808 | |
| (928) 532-3926 | |
| (928) 367-4916 |
| Full Name | Mountain Family Care And Walk In Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 320 E Deuce Of Clubs, Show Low, Arizona |
| Authorized Official Name and Position | Bryan Sean Smithson (OWNER) |
| Authorized Official Contact | 9285323926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Family Care And Walk In Pllc Po Box 2680 Show Low AZ 85902-2680 Ph: (928) 532-3926 | Mountain Family Care And Walk In Pllc 320 E Deuce Of Clubs Show Low AZ 85901-4808 Ph: (928) 532-3926 |
| NPI Number | 1972902997 |
|---|---|
| Provider Enumeration Date | 08/14/2014 |
| Last Update Date | 08/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972902997 | NPI | - | NPPES |
| 711987 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 45758 (Arizona) | Primary |
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