Organization
PRESCOTT QUICK CARE LLC
Active
Other names
Family First Convenient Care
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E WALLS FNP-C (OWNER)
(928) 350-8780
Entity
Organization
Contact information
Practice address
3075 N WINDSONG DR STE A, PRESCOTT VALLEY, AZ 86314
(928) 350-8780
(888) 674-1228
Mailing address
3075 N WINDSONG DR STE A, PRESCOTT VALLEY, AZ 86314-1208
(928) 350-8780
(888) 674-1228
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP9827
AZ
261QP2300X
Primary Care Clinic/Center
Primary
AP7995
AZ
Other
Enumeration date
09/25/2017
Last updated
07/31/2018
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