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Organization
LISA MARIE YORK, MD
Active
Organization
LISA MARIE YORK, MD
Active
Other names
Pine Strawberry Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE YORK MD (PHYSICIAN)
(928) 476-3258
Entity
Organization
Contact information
Practice address
6152 HARDSCRABBLE ROAD, PINE, AZ 85544
(928) 476-3258
(928) 476-3186
Mailing address
PO BOX 409, PINE, AZ 85544-0409
(928) 476-3258
(928) 476-3186
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24012
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1Z9017
HEALTHNET
AZ
05
—
391186
—
AZ
01
—
AZ0740060
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
08/23/2007
Last updated
01/17/2008
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