Organization
ARIZONA FAMILY CARE ASSOCIATES URGENT CARE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED B WILLIAMS ED. D (CEO)
(520) 458-4335
Entity
Organization
Contact information
Practice address
302 EL CAMINO REAL, SUITE 11CD, SIERRA VISTA, AZ 85635-2860
(520) 458-9644
(520) 417-9436
Mailing address
6 SOUTH SECOND ST, SIERRA VISTA, AZ 85635-1830
(520) 458-4335
(520) 458-2988
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
5382700001
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC1464
MEDICARE RAILROAD
AZ
Enumeration date
07/07/2006
Last updated
03/23/2009
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