Poncel, Mary M
Poncel, Mary M is an individual health care provider with primary practice located at 500 N Hwy 89 Northern Arizona Va Hcs, Prescott AZ 86313. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Poncel, Mary M can be contacted via phone (928) 445-4860.Contact Information
Primary practice address
500 N Hwy 89 Northern Arizona Va Hcs
Prescott AZ 86313
Phone: (928) 445-4860
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 9751 | Arizona |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 74-76 | New Mexico |
Profile Details
| NPI number | 1609960707 |
|---|---|
| LBN Legal business name | Poncel, Mary M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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