# P&G ALLERGY & FAMILY PRACTICE PLLC

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

## Provider details

- **NPI number:** 1447902556
- **Authorized official:** CHETAN SHAILESHKUMAR PATEL NP (OWNER)
- **Authorized official phone:** (520) 723-7726

## Contact information

- **Practice address:** 412 WHIPPLE ST STE 101, PRESCOTT, AZ 86301-1712
- **Practice address phone:** (480) 634-2985
- **Practice address fax:** (480) 634-2987
- **Mailing address:** 171 W CENTRAL AVE, COOLIDGE, AZ 85128-4405
- **Mailing address phone:** (480) 634-2985
- **Mailing address fax:** (480) 634-2987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207KA0200X | Allergy Physician | — | NULL | — |
| 207KA0200X | Allergy Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/20/2022
- **Last updated:** 09/05/2025