Organization
ARIZONA GRAND MEDICAL CENTER PLLC
Active
Parent organization
ARIZONA GRAND MEDICAL CENTER PLLC
Other names
Dewey Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA GRAND MEDICAL CENTER PLLC
Authorized official
MELISSA MAYORAL (ACCOUNTS MANAGER)
(602) 820-4709
Entity
Organization
Contact information
Practice address
3777 CROSSINGS DR, PRESCOTT, AZ 86305-7121
(623) 934-5600
(623) 934-5603
Mailing address
PO BOX 47729, PHOENIX, AZ 85068-7729
(623) 934-5600
(623) 934-5603
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK3166
RAIL ROAD MEDICARE
AZ
Enumeration date
07/22/2006
Last updated
09/02/2025
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