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Organization
P&G ALLERGY & FAMILY PRACTICE PLLC
Active
Organization
P&G ALLERGY & FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHETAN SHAILESHKUMAR PATEL NP (OWNER)
(520) 723-7726
Entity
Organization
Contact information
Practice address
412 WHIPPLE ST STE 101, PRESCOTT, AZ 86301-1712
(480) 634-2985
(480) 634-2987
Mailing address
171 W CENTRAL AVE, COOLIDGE, AZ 85128-4405
(480) 634-2985
(480) 634-2987
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
—
NULL
207KA0200X
Allergy Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/20/2022
Last updated
09/05/2025
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