YAVAPAI HEALTHCARE GROUP LLC

PRESCOTT, AZ
NPI1619487675
Entity TypeOrganization
Authorized ContactMICHAEL O'NEIL
Sole Mbr/CEO
631-352-0650
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2017-10-04
Last Update Date2017-10-04
Business Address
YAVAPAI HEALTHCARE GROUP LLC
999 DIVISION STREET
PRESCOTT, AZ 86301
Phone number: 928-777-9600
Mailing Address
YAVAPAI HEALTHCARE GROUP LLC
50 VANDERBILT MOTOR PKWY
COMMACK, NY 11725
Phone number: 631-352-0650