# HIGHLAND MEDICAL CENTER, PC

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

## Provider details

- **NPI number:** 1740583186
- **Authorized official:** DR. LAWRENCE E KRAMER M.D. (PRESIDENT/OWNER)
- **Authorized official phone:** (602) 955-8844

## Contact information

- **Practice address:** 2222 E HIGHLAND AVE, SUITE 318, PHOENIX, AZ 85016-4872
- **Practice address phone:** (602) 955-8844
- **Practice address fax:** (602) 955-3868
- **Mailing address:** 2222 E HIGHLAND AVE, SUITE 318, PHOENIX, AZ 85016-4872
- **Mailing address phone:** (602) 955-8844
- **Mailing address fax:** (602) 955-3868

## Taxonomy

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

## Other

- **Enumeration date:** 12/07/2010
- **Last updated:** 03/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | Z142918 | MEDICARE PTAN | AZ |