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Organization
YAVAPAI HEALTHCARE GROUP LLC
Active
Organization
YAVAPAI HEALTHCARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL O'NEIL (SOLE MBR/CEO)
(631) 352-0650
Entity
Organization
Contact information
Practice address
999 DIVISION STREET, PRESCOTT, AZ 86301
(928) 777-9600
(928) 777-9797
Mailing address
50 VANDERBILT MOTOR PKWY, COMMACK, NY 11725
(631) 352-0650
(631) 343-7429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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