CHERRY FAMILY PRACTICE, PLC
Ambulatory Health at 14 St, Cottonwood, AZ

License number
Arizona 2919AZ
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. SCOTT D BINGHAM D.O.
Title: MEDICAL DIRECTOR
Phone: (602) 228-6242
Address
Address
411 S 14Th St, Cottonwood, AZ 86326
National Provider ID: 1558413781
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHERRY FAMILY PRACTICE, PLC

4111 S 14 St STE 101, Cottonwood, AZ 86326

Status:
Inactive
Inactive reason:
Latest date to dissolve
Registration:
Dec 28, 2006
Inactive since:
Dec 31, 2056
State ID:
P-1333919-2
Manager:
Verde Valley Urgent Care And (Manager), 411 S 14 St STE 101, Cottonwood, AZ 86326 (Physical)
Agent:
Scott Bingham,2537 N Maple St, Mesa, AZ 85216 (Physical)

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