ANTHRACITE MEDICAL PLLC

PRESCOTT, AZ
NPI1366206500
Entity TypeOrganization
Authorized ContactJOSEPH LEONARD VICCICA
Member
570-299-0037
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2024-02-08
Last Update Date2024-02-12
Business Address
ANTHRACITE MEDICAL PLLC
4855 BUTTERFLY DR
PRESCOTT, AZ 86301-5770
Phone number: 570-299-0037
Mailing Address
ANTHRACITE MEDICAL PLLC
4855 BUTTERFLY DR
PRESCOTT, AZ 86301-5770
Phone number: 570-299-0037
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