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5750 E Highway 90 Ste 200 Sierra Vista AZ 85635-9113 | |
| (520) 263-3762 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 5750 E Highway 90 Ste 200, Sierra Vista, Arizona |
| Authorized Official Name and Position | Charlotte Lawrence (SECRETARY) |
| Authorized Official Contact | 6159207000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
330 Seven Springs Way Brentwood TN 37027-5098 Ph: (615) 920-7000 | 5750 E Highway 90 Ste 200 Sierra Vista AZ 85635-9113 Ph: (520) 263-3762 |
| NPI Number | 1336910488 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336910488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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