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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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