| Yrmc Physiciancare Internal Medicine | |
|
3120 Clearwater Dr Prescott AZ 86305-7131 | |
| (928) 771-3704 | |
| Not Available |
| Full Name | Yrmc Physiciancare Internal Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3120 Clearwater Dr, Prescott, Arizona |
| Authorized Official Name and Position | Donald Bolin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9287715758 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Yrmc Physiciancare Internal Medicine 3120 Clearwater Dr Prescott AZ 86305-7131 Ph: (928) 771-3704 | Yrmc Physiciancare Internal Medicine 3120 Clearwater Dr Prescott AZ 86305-7131 Ph: (928) 771-3704 |
| NPI Number | 1396919387 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 10/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396919387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 35216 (Arizona) | Primary |
| 261QP2400X | Clinic/center - Prison Health | 35216 (Arizona) | Secondary |
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