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1366206500
ANTHRACITE MEDICAL PLLC
PRESCOTT, AZ
NPI
1366206500
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Entity Type
Organization
Authorized Contact
JOSEPH LEONARD VICCICA
Member
570-299-0037
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-02-08
Last Update Date
2024-02-12
Business Address
ANTHRACITE MEDICAL PLLC
4855 BUTTERFLY DR
PRESCOTT, AZ 86301-5770
Phone number: 570-299-0037
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Mailing Address
ANTHRACITE MEDICAL PLLC
4855 BUTTERFLY DR
PRESCOTT, AZ 86301-5770
Phone number: 570-299-0037
Copy
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