SOUTHWEST I.D. & MEDICAL CLINIC, LC

PRESCOTT VALLEY, AZ
NPI1275563975
Entity TypeOrganization
Authorized ContactALPANA JETLY
Manager
928-772-3340
Organization Subpart ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: AZ  29064)
Enumeration Date2006-07-05
Last Update Date2023-09-07
Business Address
SOUTHWEST I.D. & MEDICAL CLINIC, LC
3235 N WINDSONG DR
PRESCOTT VALLEY, AZ 86314-1222
Phone number: 928-772-3340
Mailing Address
SOUTHWEST I.D. & MEDICAL CLINIC, LC
PO BOX 1629
PRESCOTT, AZ 86302-1629
Phone number: 928-772-3340