# ROCKY MOUNTAIN MEDICAL PLLC

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

## Provider details

- **NPI number:** 1285773549
- **Authorized official:** HERMAN CHARLES HEIKKENEN M.D. (CEO)
- **Authorized official phone:** (928) 777-2425

## Contact information

- **Practice address:** 1003 DIVISION ST, STE 1, PRESCOTT, AZ 86301-1657
- **Practice address phone:** (928) 777-2425
- **Mailing address:** PO BOX 2527, PRESCOTT, AZ 86302-2527
- **Mailing address phone:** (928) 777-2425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 32037 | AZ | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 11/02/2007