Organization
NORTHERN ARIZONA HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE MARY ACCOMANDO PA-C (PHYSICIAN ASSISTANT)
(928) 639-5580
Entity
Organization
Contact information
Practice address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 639-5580
(928) 639-6541
Mailing address
340 S WILLARD ST, COTTONWOOD, AZ 86326-4126
(928) 639-5580
(928) 639-6541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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