| 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 |