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Organization
MEDICAL SERVICES OF PRESCOTT, INC.
Active
Organization
MEDICAL SERVICES OF PRESCOTT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN F DEKORT MD (PRESIDENT)
(928) 771-5100
Entity
Organization
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5100
Mailing address
1042 WILLOW CREEK RD, STE. 101, PMB 521, PRESCOTT, AZ 86301-1673
(928) 771-5100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
05/12/2006
Last updated
07/21/2015
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