Organization
WEST SEDONA FAMILY PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A CLINE PA-C (PHYSICIAN ASSISTANT)
(928) 204-2540
Entity
Organization
Contact information
Practice address
2155 W STATE ROUTE 89A STE 116, SEDONA, AZ 86336-5415
(928) 204-2540
(928) 204-9070
Mailing address
2155 W STATE ROUTE 89A STE 116, SEDONA, AZ 86336-5415
(928) 204-2540
(928) 204-9070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4243
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164446043
INDIVIDUAL NPI
AZ
01
—
E7287Z
PROVIDER #
—
Enumeration date
01/28/2016
Last updated
12/16/2024
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