| NPI | 1649262965 |
|---|---|
| Doing Business As | PRESCOTT VALLEY PRIMARY & URGENT CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | DIETER W. KRANTZ Vice President 928-772-2591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2007-08-30 |