NPI | 1134301054 |
---|---|
Doing Business As | PRESCOTT PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | LYNN L REICHLE Owner/CEO 928-778-4371 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ 20371) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2012-11-19 |