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Organization
PRESCOTT COMPLETE CARE, PLLC
Active
Organization
PRESCOTT COMPLETE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH VICCICA (MEMBER)
(570) 299-0037
Entity
Organization
Contact information
Practice address
1947 COMMERCE CENTER CIRCLE, SUITE A, PRESCOTT, AZ 86301
(928) 458-5723
(928) 237-1787
Mailing address
1947 COMMERCE CENTER CIRCLE, SUITE A, PRESCOTT, AZ 86301
(928) 458-5723
(928) 237-1787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
08/01/2019
Last updated
04/07/2026
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