Organization
VILLAGE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORY DAVIDSON (CEO)
(602) 821-1390
Entity
Organization
Contact information
Practice address
56 W CORTEZ DR, SEDONA, AZ 86351-9087
(928) 713-3482
Mailing address
56 W CORTEZ DR, SEDONA, AZ 86351-9087
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
08/19/2025
Last updated
08/28/2025
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