Prescott Family Medicine Pllc

LBN: Prescott Family Medicine Pllc
Prescott Family Medicine Pllc is an health care organization with primary practice located at 726 Gail Gardner Way Suite B, Prescott AZ 86305-2314. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Prescott Family Medicine Pllc can be contacted via phone (928) 445-4100, or through Doyle, Kevin S via phone (928) 445-4100.

Contact Information

Primary practice address
726 Gail Gardner Way Suite B Prescott AZ 86305-2314
Phone: (928) 445-4100
Fax: (928) 445-9132
Website:
Map and Directions
Authorized official contact:
Name: Doyle, Kevin S Doctor of Medicine (MD)
Phone: (928) 445-4100

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Arizona

Profile Details

NPI number 1720070303
LBN Legal business name Prescott Family Medicine Pllc
DBA Doing business as
Authorized official Doyle, Kevin S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2005
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720070303 NPPES
Other 107085 AETNA

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