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1700583879
PEAKS PRIMARY CARE, LLC
PRESCOTT, AZ
NPI
1700583879
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Entity Type
Organization
Authorized Contact
TERI ELLERBE
Administrator
602-851-3030
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2023-02-09
Last Update Date
2023-10-24
Business Address
PEAKS PRIMARY CARE, LLC
919 12TH PL STE 5
PRESCOTT, AZ 86305-1433
Phone number: 928-582-6055
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Mailing Address
PEAKS PRIMARY CARE, LLC
919 12TH PL STE 5
PRESCOTT, AZ 86305-1433
Phone number: 928-582-6055
Copy
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