# PRESTIGE VIRTUAL CARE LLC

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

## Provider details

- **NPI number:** 1548994072
- **Authorized official:** BRYAN EUGENE HOOPPAW (CEO)
- **Authorized official phone:** (480) 206-5619

## Contact information

- **Practice address:** 10830 N 71ST PL STE 105, SCOTTSDALE, AZ 85254-6105
- **Practice address phone:** (480) 206-5619
- **Mailing address:** 10830 N 71ST PL STE 105, SCOTTSDALE, AZ 85254-6105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/11/2022
- **Last updated:** 05/01/2023