Yavapai Regional Medical Center Physician Care LLC
Internal Medicine, Cardiovascular Disease in Prescott, AZ. Organization (NPI-2).
NPI number1255582003
StatusActive
Last updated in NPPESApr 4, 2016
Details
- NPI
- 1255582003
- Entity type
- Organization (NPI-2)
- Legal business name
- Yavapai Regional Medical Center Physician Care LLC
- Organization subpart
- No
- Enumeration date
- Oct 9, 2008
- Last updated
- Apr 4, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 35954 | AZ | Yes |
Other names
- Yavapai Regional Medical Center Physician Care (Doing Business As)
Practice location
3120 Clearwater DrPrescott, AZ 86305-7131
Phone 928-771-2400 · Fax 928-771-2650
Mailing address
Po Box 10880Prescott, AZ 86304-0880
Phone 928-759-5987 · Fax 928-458-2039
Authorized official
Lee Livin
Cfo
9287715691
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