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Organization

ELLEN F BUNCH MD PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH L BUNCH (PRACTICE MANAGER)
(928) 777-8880
Entity
Organization

Contact information

Practice address
1456 W GURLEY ST, PRESCOTT, AZ 86305-2828
(928) 777-8880
(928) 777-8884
Mailing address
1456 W GURLEY ST, PRESCOTT, AZ 86305-2828
(928) 777-8880
(928) 777-8884

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
04/12/2022
Last updated
05/01/2023
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