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Organization

ARIZONA ADULT AND PEDIATRIC MEDICINE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA LUE SIPES MD (TREASURER)
(928) 443-1000
Entity
Organization

Contact information

Practice address
743 MILLER VALLEY ROAD, PRESCOTT, AZ 86301-1813
(928) 443-1000
(928) 443-1001
Mailing address
743 MILLER VALLEY ROAD, PRESCOTT, AZ 86301-1813
(928) 443-1000
(928) 443-1001

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208000000X
Pediatrics Physician

Other

Enumeration date
12/18/2007
Last updated
12/18/2007
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