Organization
WHITE MOUNTAIN FAMILY PRACTICE ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA NEEL (MANAGER)
(928) 532-5838
Entity
Organization
Contact information
Practice address
5658 HIGHWAY 260, SUITE 19, LAKESIDE, AZ 85929-5189
(928) 532-5838
(928) 532-6670
Mailing address
5658 HIGHWAY 260, SUITE 19, LAKESIDE, AZ 85929-5189
(928) 532-5838
(928) 532-6670
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7081
AZ
Other
Enumeration date
02/28/2007
Last updated
12/27/2007
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