| Your Family Practice Team Pc | |
|
2051 Evergreen Ln Ste D Show Low AZ 85901-7928 | |
| (928) 537-2200 | |
| (928) 537-2204 |
| Full Name | Your Family Practice Team Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2051 Evergreen Ln Ste D, Show Low, Arizona |
| Authorized Official Name and Position | Becky Thompson (OWNER) |
| Authorized Official Contact | 9285372200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Your Family Practice Team Pc 2051 Evergreen Ln Ste D Show Low AZ 85901-7928 Ph: (928) 537-2200 | Your Family Practice Team Pc 2051 Evergreen Ln Ste D Show Low AZ 85901-7928 Ph: (928) 537-2200 |
| NPI Number | 1396715611 |
|---|---|
| Provider Enumeration Date | 01/26/2006 |
| Last Update Date | 12/16/2013 |
| Medicare PECOS PAC ID | 5395734032 |
|---|---|
| Medicare Enrollment ID | O20040508000251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396715611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Becky A Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740250067 PECOS PAC ID: 3375532013 Enrollment ID: I20040511000246 |
| Provider Name | Christina D Trujillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780856856 PECOS PAC ID: 6608945357 Enrollment ID: I20080521000012 |
| Provider Name | Carol Elaine Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174952741 PECOS PAC ID: 9739318742 Enrollment ID: I20140213001585 |
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