Organization
ARIZONA ADULT AND PEDIATRIC MEDICINE PC
Active
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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