# SHIRLEY RHEINFELDER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083946610
- **Authorized official:** MR. JOHN C MOYER (MANAGER)
- **Authorized official phone:** (928) 778-1251

## Contact information

- **Practice address:** 3149 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2240
- **Practice address phone:** (928) 445-6083
- **Practice address fax:** (928) 775-2307
- **Mailing address:** 47 N FRENCH DR, PRESCOTT, AZ 86303-6247
- **Mailing address phone:** (928) 778-1251
- **Mailing address fax:** (928) 778-7834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 31308 | AZ | Yes |

## Other

- **Enumeration date:** 02/08/2010
- **Last updated:** 02/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 774762 | — | AZ |
| 01 | — | AZ0734010 | BCBS | AZ |
| 01 | — | Z74731 | MEDICARE ID-TYPE UNSPECIFIED | AZ |