Organization
FRED S MARKHAM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED S MARKHAM MD (OWNER PRESIDENT)
(928) 778-1736
Entity
Organization
Contact information
Practice address
804 AINSWORTH DR, SUITE 104, PRESCOTT, AZ 86301-1624
(928) 778-1736
(928) 717-0785
Mailing address
PO BOX 20490, MESA, AZ 85277-0490
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/07/2006
Last updated
10/02/2007
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