# WHITE MOUNTAIN FAMILY PRACTICE ASSOCIATES LTD

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

## Provider details

- **NPI number:** 1467580894
- **Authorized official:** LINDA NEEL (MANAGER)
- **Authorized official phone:** (928) 532-5838

## Contact information

- **Practice address:** 5658 HIGHWAY 260, SUITE 19, LAKESIDE, AZ 85929-5189
- **Practice address phone:** (928) 532-5838
- **Practice address fax:** (928) 532-6670
- **Mailing address:** 5658 HIGHWAY 260, SUITE 19, LAKESIDE, AZ 85929-5189
- **Mailing address phone:** (928) 532-5838
- **Mailing address fax:** (928) 532-6670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 7081 | AZ | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 12/27/2007
