| |
999 Division St Prescott AZ 86301-1654 | |
(928) 778-2700 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 999 Division St, Prescott, Arizona |
Authorized Official Name and Position | Stephen Dahn (PRESIDENT) |
Authorized Official Contact | 9287782700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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999 Division St Prescott AZ 86301-1654 Ph: (928) 778-2700 | 999 Division St Prescott AZ 86301-1654 Ph: (928) 778-2700 |
NPI Number | 1427169770 |
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Provider Enumeration Date | 08/31/2006 |
Last Update Date | 06/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427169770 | NPI | - | NPPES |
CJ6353 | Other | AZ | RAIL ROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (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 | |