St. Michaels Clinic | |
359 West Highway 264 Suite A Saint Michaels AZ 86511 | |
(928) 810-3800 | |
(928) 810-3801 |
Full Name | St. Michaels Clinic |
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Speciality | Family Medicine |
Location | 359 West Highway 264, Saint Michaels, Arizona |
Authorized Official Name and Position | Dawn Martinez (BUSINESS OFFICE MANAGER) |
Authorized Official Contact | 9288103814 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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St. Michaels Clinic Po Box 370 Saint Michaels AZ 86511-0370 Ph: (928) 810-3814 | St. Michaels Clinic 359 West Highway 264 Suite A Saint Michaels AZ 86511 Ph: (928) 810-3800 |
NPI Number | 1679757819 |
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Provider Enumeration Date | 12/24/2007 |
Last Update Date | 12/24/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679757819 | NPI | - | NPPES |
709248 | Medicaid | AZ | |
68357303 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OTC2967 (Arizona) | Primary |