Organization
YAVAPAI REGIONAL MEDICAL CENTER PHYSICIAN CARE LLC
Active
Other names
Yavapai Regional Medical Center Physician Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE LIVIN (CFO)
(928) 771-5691
Entity
Organization
Contact information
Practice address
3120 CLEARWATER DR, PRESCOTT, AZ 86305-7131
(928) 771-2400
(928) 771-2650
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(928) 759-5987
(928) 458-2039
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35954
AZ
Other
Enumeration date
10/09/2008
Last updated
04/04/2016
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