Organization
PRIORITY FAMILY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS JUDAH GANN FNP-C (NURSE PRACTITIONER)
(928) 277-0875
Entity
Organization
Contact information
Practice address
3165 STILLWATER DR, PRESCOTT, AZ 86305-7173
(928) 277-0875
(928) 379-5177
Mailing address
3165 STILLWATER DR, PRESCOTT, AZ 86305-7173
(928) 277-0875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
10/25/2022
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