| Prescott Family Medicine Pllc | |
|
726 Gail Gardner Way Suite B Prescott AZ 86305-2314 | |
| (928) 445-4100 | |
| (928) 445-9132 |
| Full Name | Prescott Family Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 726 Gail Gardner Way, Prescott, Arizona |
| Authorized Official Name and Position | Kevin S Doyle (MEDICAL DOCTOR) |
| Authorized Official Contact | 9284454100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prescott Family Medicine Pllc 726 Gail Gardner Way Suite B Prescott AZ 86305-2314 Ph: (928) 445-4100 | Prescott Family Medicine Pllc 726 Gail Gardner Way Suite B Prescott AZ 86305-2314 Ph: (928) 445-4100 |
| NPI Number | 1720070303 |
|---|---|
| Provider Enumeration Date | 08/18/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720070303 | NPI | - | NPPES |
| 107085 | Other | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Arizona) | Primary |
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