YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
Osteopathic Medicine at Clearwater Dr, Prescott, AZ

License number
Arizona 35954
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: MR. LEE LIVIN
Title: CFO
Phone: (928) 771-5691
Address
Address
3120 Clearwater Dr, Prescott, AZ 86305
National Provider ID: 1255582003
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE, LLC

1003 Willow Crk Rd, Prescott, AZ 86301

Registration:
Aug 26, 2008
State ID:
L-1472954-5
Expiration:
PERPETUAL
Member:
Yavapai Community Hospital Ass (Member), 1003 Willow Crk Rd, Prescott, AZ 86301 (Physical)
Agent:
John R Amos,Yavapai Regional Medical Cente 1003 Willow Crk Rd, Prescott, AZ 86301 (Physical)

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