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Organization
SHIRLEY RHEINFELDER PLLC
Active
Organization
SHIRLEY RHEINFELDER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN C MOYER (MANAGER)
(928) 778-1251
Entity
Organization
Contact information
Practice address
3149 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2240
(928) 445-6083
(928) 775-2307
Mailing address
47 N FRENCH DR, PRESCOTT, AZ 86303-6247
(928) 778-1251
(928) 778-7834
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31308
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
774762
—
AZ
01
—
AZ0734010
BCBS
AZ
01
—
Z74731
MEDICARE ID-TYPE UNSPECIFIED
AZ
Enumeration date
02/08/2010
Last updated
02/08/2010
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