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625 W Hillside Ave Prescott AZ 86301-1936 | |
(928) 445-5211 | |
Not Available |
Full Name | |
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Speciality | Family Medicine - Adult Medicine |
Location | 625 W Hillside Ave, Prescott, Arizona |
Authorized Official Name and Position | Linda Diane Mclain (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 9284455211 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3343 N Windsong Dr Prescott Valley AZ 86314-1213 Ph: (928) 445-5211 | 625 W Hillside Ave Prescott AZ 86301-1936 Ph: (928) 445-5211 |
NPI Number | 1629618061 |
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Provider Enumeration Date | 01/14/2020 |
Last Update Date | 06/14/2021 |
Identifier | Type | State | Issuer |
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1629618061 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
Ellen F Bunch Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1456 W Gurley St, Prescott, AZ 86305 Phone: 928-777-8880 Fax: 928-777-8884 | |
Fred S Markham Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 804 Ainsworth Dr, Suite 104, Prescott, AZ 86301 Phone: 928-778-1736 Fax: 928-717-0785 | |
Yavapai Regional Medical Center Physician Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 726 Gail Gardner Way, Suite B, Prescott, AZ 86305 Phone: 928-445-0304 | |