| NPI | 1275526402 |
|---|---|
| Doing Business As | PRESCOTT MILE HIGH PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | DIETER W. KRANTZ Vice President 928-772-2591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2007-08-30 |