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Organization

OAKLAWN LC

Active
Other names
Oaklawn Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA I POLAND (OFFICE MANAGER)
(928) 445-5339
Entity
Organization

Contact information

Practice address
1672 OAKLAWN DR, PRESCOTT, AZ 86305-1106
(928) 445-5339
(928) 445-3664
Mailing address
1672 OAKLAWN DR, PRESCOTT, AZ 86305-1106
(928) 445-5339
(928) 445-3664

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary

Other

Enumeration date
01/30/2008
Last updated
01/30/2008
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