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Individual

MR. DELMAS LEE ABBOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1670 WILLOW CREEK RD STE A, PRESCOTT, AZ 86301-1112
(928) 255-5191
(928) 316-9703
Mailing address
1670 WILLOW CREEK RD STE A, PRESCOTT, AZ 86301-1112
(928) 255-5191
(928) 316-9703

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
087713
IA
363A00000X
Physician Assistant
6154
AZ
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
6154
AZ

Other

Enumeration date
12/07/2010
Last updated
02/02/2023
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