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Organization
ORACLE HEALTHCARE
Active
Organization
ORACLE HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER PETERSEN (ADMINISTRATOR)
(928) 649-6477
Entity
Organization
Contact information
Practice address
348 S MAIN ST, STE 1, CAMP VERDE, AZ 86322-7155
(928) 649-6477
(928) 649-2719
Mailing address
PO BOX 1270, CLARKDALE, AZ 86324-1270
(928) 649-6477
(928) 649-2719
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/21/2008
Last updated
11/19/2010
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