Usa Meddac, Rwbahc | |
2240 E Winrow Ave Usa Meddac, Rwbahc Ft. Huachuca AZ 85613 | |
(520) 533-9034 | |
(520) 533-5148 |
Full Name | Usa Meddac, Rwbahc |
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Speciality | Clinic/center - Primary Care |
Location | 2240 E Winrow Ave, Ft. Huachuca, Arizona |
Authorized Official Name and Position | Carol Jean Phillips (LPN) |
Authorized Official Contact | 5205339034 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Usa Meddac, Rwbahc 2240 Winrow Ave Ft.huachuca AZ 85613-7079 Ph: (520) 533-9034 | Usa Meddac, Rwbahc 2240 E Winrow Ave Usa Meddac, Rwbahc Ft. Huachuca AZ 85613 Ph: (520) 533-9034 |
NPI Number | 1124486840 |
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Provider Enumeration Date | 02/09/2016 |
Last Update Date | 02/09/2016 |
Identifier | Type | State | Issuer |
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1124486840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | LP 00041579 (Washington) | Primary |