Wickenburg Healthcare Alliance Inc

NPI 1063780583 - Family Medicine - 207Q00000X

NPI Details
NPI 1063780583
Enumeration Date 12/12/2011
Last Updated 01/30/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name THOMAS A THOMAS
Position PRESIDENT
Phone (928) 684-7255
Fax
Practice Location
108 N FRONTIER ST
WICKENBURG AZ, 85390-4411, US
Phone (928) 684-7255
Fax
Business Location
108 N FRONTIER STREET
WICKENBURG AZ, 85390-4411, US
Phone (928) 684-7255
Fax (623) 691-8113
Toxanomy
Taxonomy Code 207Q00000X
License State Arizona
License Number AZ4277
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According to our database, Wickenburg Healthcare Alliance Inc NPI is 1063780583, taxonomy code is 207Q00000X and license number is AZ4277, license state is located at Arizona. Wickenburg Healthcare Alliance Inc physically located at 108 N Frontier St, Wickenburg AZ, 85390-4411. NPI Number 1033115704 has the healthcare provider type.

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1063780583 NPI number is provided on an as is basis without warranty of any kind. 1063780583 is maintained by the National Plan & Provider Enumeration System. The contents of Wickenburg Healthcare Alliance Inc are for informational purposes only.