| NPI Details | |
|---|---|
| NPI | 1396715611 |
| Enumeration Date | 01/26/2006 |
| Last Updated | 12/16/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 11 years ago |
| Authorized Information | |
|---|---|
| Name | BECKY BECKY |
| Position | OWNER |
| Phone | (928) 537-2200 |
| Fax | (928) 537-2204 |
| Practice Location | |
|---|---|
| 2051 EVERGREEN LN STE D SHOW LOW AZ, 85901-7928, US |
|
| Phone | (928) 537-2200 |
| Fax | (928) 537-2204 |
| Business Location | |
|---|---|
| 2051 EVERGREEN LN STE D SHOW LOW AZ, 85901-7928, US |
|
| Phone | (928) 537-2200 |
| Fax | (928) 537-2204 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 207Q00000X |
| License State | |
| License Number | |
| Remove 1396715611 NPI Number | |
According to our database, Your Family Practice Team Pc NPI is 1396715611, taxonomy code is 207Q00000X Your Family Practice Team Pc physically located at 2051 Evergreen Ln Ste D, Show Low AZ, 85901-7928. NPI Number 1033115704 has the healthcare provider type.
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1396715611 NPI number is provided on an as is basis without warranty of any kind. 1396715611 is maintained by the National Plan & Provider Enumeration System. The contents of Your Family Practice Team Pc are for informational purposes only.
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