Northern Arizona Family Medicine, Pc | |
14 E Tumbleweed Lane Taylor AZ 85939-8593 | |
(928) 243-6881 | |
Not Available |
Full Name | Northern Arizona Family Medicine, Pc |
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Speciality | Clinic/center - Primary Care |
Location | 14 E Tumbleweed Lane, Taylor, Arizona |
Authorized Official Name and Position | Jeannie Diane Evans (CEO) |
Authorized Official Contact | 9282436881 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northern Arizona Family Medicine, Pc Po Box 339 Taylor AZ 85939-0339 Ph: (928) 243-6881 | Northern Arizona Family Medicine, Pc 14 E Tumbleweed Lane Taylor AZ 85939-8593 Ph: (928) 243-6881 |
NPI Number | 1710521901 |
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Provider Enumeration Date | 10/31/2019 |
Last Update Date | 10/31/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710521901 | NPI | - | NPPES |
207Q00000X | Other | AZ | TAXONOMY CODE |
579169 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Byrd Family Medical Center, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14 E Tumbleweed Ln, Taylor, AZ 85939 Phone: 928-457-2019 Fax: 833-944-1884 |