Richard Covey, Md, Pc | |
3155 Stillwater Dr Suite B Prescott AZ 86305-7172 | |
(928) 777-8000 | |
(928) 777-8104 |
Full Name | Richard Covey, Md, Pc |
---|---|
Speciality | Clinic/Center |
Location | 3155 Stillwater Dr, Prescott, Arizona |
Authorized Official Name and Position | Richard Covey (CEO) |
Authorized Official Contact | 9287778000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Richard Covey, Md, Pc 3155 Stillwater Dr Suite B Prescott AZ 86305-7172 Ph: (928) 777-8000 | Richard Covey, Md, Pc 3155 Stillwater Dr Suite B Prescott AZ 86305-7172 Ph: (928) 777-8000 |
NPI Number | 1346577632 |
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Provider Enumeration Date | 11/09/2009 |
Last Update Date | 11/25/2009 |
Medicare PECOS PAC ID | 4880733351 |
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Medicare Enrollment ID | O20091123000724 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346577632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 28184 (Arizona) | Primary |
Provider Name | Richard D Covey |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265421101 PECOS PAC ID: 8022047661 Enrollment ID: I20050804000495 |
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