Organization
GRANITE MOUNTAIN HEALTH LLC
Active
Organization
GRANITE MOUNTAIN HEALTH LLC
Active
Other names
NowPrimary.Care
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP ALLEN SCHAFER NP (NURSE PRACTITIONER)
(928) 277-0001
Entity
Organization
Contact information
Practice address
212 S MONTEZUMA ST STE 3, PRESCOTT, AZ 86303-4720
(928) 515-3097
Mailing address
212 S MONTEZUMA ST STE 3, PRESCOTT, AZ 86303-4720
(928) 515-3097
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
11/05/2025
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