Organization
ER VILLAGE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY LEIGH REAL FNP-C (VICE PRESDIENT)
(928) 800-2434
Entity
Organization
Contact information
Practice address
56 W CORTEZ DR, SEDONA, AZ 86351-9087
(602) 821-1339
Mailing address
56 W CORTEZ DR, SEDONA, AZ 86351-9087
(602) 821-1339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/25/2026
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