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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