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Organization
ONEPEAK MEDICAL MOUNTAIN WEST PLLC
Active
Organization
ONEPEAK MEDICAL MOUNTAIN WEST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA B STULTS STULTS (VP OF BILLING AND CONTRACTING)
(541) 930-8545
Entity
Organization
Contact information
Practice address
3800 N CENTRAL AVE STE 460, PHOENIX, AZ 85012-1995
(541) 930-8545
Mailing address
2040 COMMERCE DR, MEDFORD, OR 97504-9744
(541) 930-8545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/01/2026
Last updated
09/01/2026
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