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3911 E State Route 69 Prescott AZ 86301-6717 | |
(928) 442-0707 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 3911 E State Route 69, Prescott, Arizona |
Authorized Official Name and Position | Patrick Willer (PRESIDENT) |
Authorized Official Contact | 9284420707 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3911 E State Route 69 Prescott AZ 86301-6717 Ph: (928) 442-0707 | 3911 E State Route 69 Prescott AZ 86301-6717 Ph: (928) 442-0707 |
NPI Number | 1881102416 |
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Provider Enumeration Date | 01/17/2018 |
Last Update Date | 01/17/2018 |
Identifier | Type | State | Issuer |
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1881102416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Ellen F Bunch Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1456 W Gurley St, Prescott, AZ 86305 Phone: 928-777-8880 Fax: 928-777-8884 | |
Fred S Markham Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301 Phone: 928-778-1736 Fax: 928-717-0785 | |
Yavapai Regional Medical Center Physician Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 Gail Gardner Way, Suite B, Prescott, AZ 86305 Phone: 928-445-0304 | |