# MINGUS MOUNTAIN PRIMARY CARE PLLC

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

## Provider details

- **NPI number:** 1245991785
- **Authorized official:** MICHAEL ARANDA DO (PROVIDER/OWNER)
- **Authorized official phone:** (928) 308-3541

## Contact information

- **Practice address:** 450 S WILLARD ST STE 107, COTTONWOOD, AZ 86326-6744
- **Practice address phone:** (928) 848-6161
- **Mailing address:** 450 S WILLARD ST STE 107, COTTONWOOD, AZ 86326-6744
- **Mailing address phone:** (928) 649-6080
- **Mailing address fax:** (928) 649-6091

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2022
- **Last updated:** 03/02/2023