Organization
PRESCOTT LUNG PHYSICIANS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD RAUSCHER MD (PRESIDENT/OWNER)
(480) 985-1093
Entity
Organization
Contact information
Practice address
808 AINSWORTH DR, SUITE 103, PRESCOTT, AZ 86301-1625
(480) 985-1093
Mailing address
808 AINSWORTH DR, SUITE 103, PRESCOTT, AZ 86301-1625
(480) 985-1093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290012799
RAIL ROAD MEDICARE
AZ
01
—
AZ0005360
BCBS
AZ
Enumeration date
10/10/2006
Last updated
06/25/2012
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