Organization
ROCKY MOUNTAIN MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMAN CHARLES HEIKKENEN M.D. (CEO)
(928) 777-2425
Entity
Organization
Contact information
Practice address
1003 DIVISION ST, STE 1, PRESCOTT, AZ 86301-1657
(928) 777-2425
Mailing address
PO BOX 2527, PRESCOTT, AZ 86302-2527
(928) 777-2425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32037
AZ
Other
Enumeration date
02/05/2007
Last updated
11/02/2007
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