Individual
DR. MARK EVERETT KIFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO, MBA
Contact information
Practice address
6200 W INDIAN PONY CT, PRESCOTT, AZ 86305-1542
(602) 319-5919
Mailing address
6200 W INDIAN PONY CT, PRESCOTT, AZ 86305-1542
(602) 319-5919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3802
AZ
Other
Enumeration date
12/04/2006
Last updated
03/23/2016
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