COUNTRY CLINIC PC

QUEEN CREEK, AZ
NPI1740561562
Entity TypeOrganization
Authorized ContactKATHERINE C HAKEMAN
President
480-369-0582
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP2088)
Enumeration Date2011-09-07
Last Update Date2012-03-14
Business Address
COUNTRY CLINIC PC
26416 S MANDARIN DR
QUEEN CREEK, AZ 85142-9411
Phone number: 480-369-0582
Mailing Address
COUNTRY CLINIC PC
PO BOX 9277
CHANDLER HEIGHTS, AZ 85127-9277
Phone number: 480-369-0582