Prescott Primary Care | |
1000 Willow Creek Rd Ste B Prescott AZ 86301-1645 | |
(928) 778-4371 | |
(928) 771-8447 |
Full Name | Prescott Primary Care |
---|---|
Speciality | Family Medicine |
Location | 1000 Willow Creek Rd Ste B, Prescott, Arizona |
Authorized Official Name and Position | Lynn L Reichle (OWNER/CEO) |
Authorized Official Contact | 9287784371 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Prescott Primary Care 1000 Willow Creek Rd Ste B Prescott AZ 86301-1645 Ph: (928) 778-4371 | Prescott Primary Care 1000 Willow Creek Rd Ste B Prescott AZ 86301-1645 Ph: (928) 778-4371 |
NPI Number | 1134301054 |
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Provider Enumeration Date | 12/03/2007 |
Last Update Date | 11/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134301054 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 20371 (Arizona) | Primary |
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