Compass Medical Center Snowflake, PLLC
General Practice in Snowflake, AZ. Organization (NPI-2).
NPI number1669936050
StatusActive
Last updated in NPPESMar 19, 2024
Details
- NPI
- 1669936050
- Entity type
- Organization (NPI-2)
- Legal business name
- Compass Medical Center Snowflake, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 30, 2019
- Certification date
- Mar 19, 2024
- Last updated
- Mar 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
1300 S Main StSnowflake, AZ 85937-5661
Phone 928-536-5525
Mailing address
1300 S Main StSnowflake, AZ 85937-5661
Phone 928-536-5525
Authorized official
Justin Woodside
Owner
9285365525
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Other General Practice Physician providers in Snowflake, AZ
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All 5 General Practice Physician providers in Snowflake · All 123 providers in Snowflake
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