BMI423I

PRESCOTT, AZ
NPI1407683162
Entity TypeOrganization
Authorized ContactTHUY NGUYEN
Manager
602-492-8606
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2024-09-17
Last Update Date2025-11-24
Business Address
BMI423I
412 WHIPPLE ST
PRESCOTT, AZ 86301-1712
Phone number: 480-788-5621
Mailing Address
BMI423I
412 WHIPPLE ST
PRESCOTT, AZ 86301-1712
Phone number: 480-788-5621
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