Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 3250 Highway 82, Sonoita, Arizona |
Authorized Official Name and Position | Stephen L Page (VICE PRESIDENT) |
Authorized Official Contact | 6158449849 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
300 El Camino Real Sierra Vista AZ 85635-2812 Ph: (520) 417-3001 | 3250 Highway 82 Sonoita AZ 85637 Ph: (520) 417-3001 |
NPI Number | 1013160290 |
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Provider Enumeration Date | 10/31/2008 |
Last Update Date | 11/21/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013160290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |