ALBERT G CACCAVALE, DO
Osteopathic Medicine at Willow Creek Rd, Prescott, AZ

License number
Arizona 1944
Category
Osteopathic Medicine
Type
Critical Care Medicine
License number
Arizona 47673
Category
Osteopathic Medicine
Type
Critical Care Medicine
Address
Address
1003 Willow Creek Rd, Prescott, AZ 86301
Phone
(928) 771-5420
(928) 771-5471 (Fax)
(928) 771-5487
National Provider ID: 1780670513
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALBERT G. CACCAVALE, D.O., PC

3206 Jack Dr, Prescott, AZ 86305

Status:
Inactive
Inactive reason:
Ad-dissolved-maintain stat agent
Registration:
Dec 3, 1996
Inactive since:
Jul 8, 2014
State ID:
-0793482-8
Expiration:
PERPETUAL
President:
Albert G Caccavale (President), 3206 Jack Dr, Prescott, AZ 86305 (Physical)
Business type:
HEALTH CARE

Professional information

Albert G Caccavale Photo 1

Dr. Albert G Caccavale, Prescott AZ - DO (Doctor of Osteopathic Medicine)
Specialties:
Internal Medicine
Address:
Naz Hospitalists
1003 Willow Creek Rd, Prescott 86301
(928) 771-5470 (Phone)
Languages:
English
Hospitals:
Naz Hospitalists
1003 Willow Creek Rd, Prescott 86301
Yavapai Regional Medical Center - West
1003 Willow Creek Rd, Prescott 86301
Education:
Medical School
Kirksville College of Osteopathic Medicine
Graduated: 1982

Albert G Caccavale Photo 2

Albert G Caccavale, Prescott AZ
Specialties:
Internist
Address:
1003 Willow Creek Rd, Prescott, AZ 86301

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