Arizona Adult And Pediatric Medicine PC

Internal Medicine in Prescott, AZ. Organization (NPI-2).

NPI number1225212905

StatusActive

Last updated in NPPESDec 18, 2007

Details

NPI: 1225212905
Entity type: Organization (NPI-2)
Legal business name: Arizona Adult And Pediatric Medicine PC
Organization subpart: No
Enumeration date: Dec 18, 2007
Last updated: Dec 18, 2007

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes
208000000X	Pediatrics	–	–

Practice location

743 Miller Valley Road
Prescott, AZ 86301-1813

Phone 928-443-1000 · Fax 928-443-1001

Mailing address

743 Miller Valley Road
Prescott, AZ 86301-1813

Phone 928-443-1000 · Fax 928-443-1001

Authorized official

Brenda Lue Sipes
Treasurer
9284431000

Is something wrong?

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Other Internal Medicine Physician providers in Prescott, AZ

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