BIG PARK FAMILY PRACTICE PC

SEDONA, AZ
NPI1902000763
Entity TypeOrganization
Authorized ContactTY MONTGOMERY
Owner
928-300-4783
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: AZ  AP2648)
Enumeration Date2007-06-13
Last Update Date2007-11-07
Business Address
BIG PARK FAMILY PRACTICE PC
61 BELL ROCK PLZ
SEDONA, AZ 86351-8810
Phone number: 928-300-4783
Mailing Address
BIG PARK FAMILY PRACTICE PC
PO BOX 21540
SEDONA, AZ 86341-1540
Phone number: 928-300-4783
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