Wha Medical | |
108 N Frontier St Wickenburg AZ 85390-4411 | |
(928) 684-7255 | |
Not Available |
Full Name | Wha Medical |
---|---|
Speciality | Family Medicine |
Location | 108 N Frontier St, Wickenburg, Arizona |
Authorized Official Name and Position | Thomas A Matlock (PRESIDENT) |
Authorized Official Contact | 9286847255 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wha Medical 108 N Frontier Street Wickenburg AZ 85390-4411 Ph: (928) 684-7255 | Wha Medical 108 N Frontier St Wickenburg AZ 85390-4411 Ph: (928) 684-7255 |
NPI Number | 1063780583 |
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Provider Enumeration Date | 12/12/2011 |
Last Update Date | 01/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063780583 | NPI | - | NPPES |
203878 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | AZ4277 (Arizona) | Primary |
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