PRESTIGE PRIMARY CARE, PLLC

QUEEN CREEK, AZ
NPI1144797374
Entity TypeOrganization
Authorized ContactCANDEE J EISENHART
Owner
480-815-7074
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2018-10-25
Last Update Date2022-04-05
Business Address
PRESTIGE PRIMARY CARE, PLLC
21321 E OCOTILLO RD STE 102
QUEEN CREEK, AZ 85142-5993
Phone number: 480-815-7074
Mailing Address
PRESTIGE PRIMARY CARE, PLLC
PO BOX 1009
QUEEN CREEK, AZ 85142-1821
Phone number: 480-815-7074