| |
1000 Ainsworth Dr Ste A220 Prescott AZ 86305-1645 | |
(928) 830-1717 | |
(877) 835-3579 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 1000 Ainsworth Dr, Prescott, Arizona |
Authorized Official Name and Position | Gene Peters (BUSINESS MANAGER) |
Authorized Official Contact | 9283001388 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1000 Ainsworth Dr Ste A220 Prescott AZ 86305-1645 Ph: (928) 830-1717 | 1000 Ainsworth Dr Ste A220 Prescott AZ 86305-1645 Ph: (928) 830-1717 |
NPI Number | 1679505812 |
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Provider Enumeration Date | 07/07/2006 |
Last Update Date | 05/28/2014 |
Identifier | Type | State | Issuer |
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1679505812 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (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 | |